A narrative review of sociodemographic risk and disparities in screening, diagnosis, treatment, and outcomes of the most common extrathoracic malignancies in the United States.
A narrative review of sociodemographic risk and disparities in screening, diagnosis, treatment, and outcomes of the most common extrathoracic malignancies in the United States.
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DOI：
10.21037/jtd-21-87
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发表时间：
2021-06
影响因子：
2.5
通讯作者：
Sridhar P
中科院分区：
文献类型：
--
作者：
Singh S;Sridhar P
多种社会人口学风险因素与癌症护理差异之间存在明确的关联。这些风险因素包括少数民族和种族，低社会经济地位（SES），包括低收入和教育水平，非英语主要语言，移民身份和居住隔离，以及距离提供癌症护理的设施。随着癌症护理的进步，筛查、治疗和结果方面的现有差异变得更加明显。肺癌仍然是美国最常见和致命的恶性肿瘤，乳腺癌、结直肠癌和前列腺癌是三种最常见和致命的胸外恶性肿瘤。为这些恶性肿瘤患者实现最佳结果依赖于强大的医患关系，从而实现强大的筛查，早期诊断和早期转诊到可以提供多学科护理和多模式治疗的设施。这是可能的，在发展患者的信任和理解，提供筛查，并建立转诊管道肺癌护理的弱势群体的确定性治疗所经历的挑战是由那些在胸外恶性肿瘤。同样，在跨越社会人口和地理障碍为所有患者提供最佳护理方面取得的进展可以作为路线图。因此，我们对乳腺、前列腺和结直肠恶性肿瘤患者目前在筛查、治疗和结局方面的差异进行了叙述性综述。
There is a well-established association between multiple sociodemographic risk factors and disparities in cancer care. These risk factors include minority race and ethnicity, low socioeconomic status (SES) including low income and education level, non-English primary language, immigrant status, and residential segregation, and distance to facilities that deliver cancer care. As cancer care advances, existing disparities in screening, treatment, and outcomes have become more evident. Lung cancer remains the most common and fatal malignancy in the United States, with breast, colorectal, and prostate cancer being the three most common and deadly extrathoracic malignancies. Achieving the best outcomes for patients with these malignancies relies on strong physician-patient relationships leading to robust screening, early diagnosis, and early referral to facilities that can deliver multidisciplinary care and multimodal therapy. It is likely that challenges experienced in developing patient trust and understanding, providing access to screening, and building referral pipelines for definitive therapy in lung cancer care to vulnerable populations are paralleled by those in extrathoracic malignancies. Likewise, progress made in delivering optimal care to all patients across sociodemographic and geographic barriers can serve as a roadmap. Therefore, we provide a narrative review of current disparities in screening, treatment, and outcomes for patients with breast, prostate, and colorectal malignancies.
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前列腺癌的种族差异：分子视角。
DOI：
10.2741/4515
发表时间：
2017-01-01
期刊：
Frontiers in bioscience (Landmark edition)
影响因子：
--
作者：
Bhardwaj A;Srivastava SK;Khan MA;Prajapati VK;Singh S;Carter JE;Singh AP
通讯作者：
Singh AP
影响因子：
12.7
作者：
Ahmed, Nasar U.;Pelletier, Valerie;Albatineh, Ahmed N.
通讯作者：
Albatineh, Ahmed N.
影响因子：
6.2
作者：
Brawarsky, Phyllis;Neville, Bridget A.;Haas, Jennifer S.
通讯作者：
Haas, Jennifer S.
结直肠癌筛查吸收：农村和城市私人保险人口之间的差异。
影响因子：
5.2
作者：
Alyabsi M;Meza J;Islam KMM;Soliman A;Watanabe-Galloway S
通讯作者：
Watanabe-Galloway S
影响因子：
3.7
作者：
Arsoniadis, Elliot G.;Fan, Yunhua;Kwaan, Mary R.
通讯作者：
Kwaan, Mary R.