Racial and ethnic disparities in gastric cancer outcomes: More important than surgical technique?
Racial and ethnic disparities in gastric cancer outcomes: More important than surgical technique?
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DOI：
10.3748/wjg.v20.i33.11546
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发表时间：
2014-09-07
影响因子：
4.3
通讯作者：
Kim, Joseph
中科院分区：
文献类型：
--
作者：
Merchant, Shaila J.;Li, Lily;Kim, Joseph
癌症治疗中的种族和民族差异是主要的公共卫生问题，确定这些差异对于制定消除这些差异的干预措施是必要的。我们和其他人之前已经观察到东西方患者胃癌预后的显著差异。长期以来，这些差异归因于手术技术和淋巴结切除术的程度。然而，最近的证据表明，其他因素，如肿瘤生物学，环境因素，如幽门螺杆菌感染和阶段迁移，也可能显著促进这些观察到的差异。我们回顾了有关胃癌差异的文献，并提供了有关潜在影响因素的数据。（三）2014年百世登出版集团股份有限公司版权所有。
Racial and ethnic disparities in cancer care are major public health concerns and their identification is necessary to develop interventions to eliminate these disparities. We and others have previously observed marked disparities in gastric cancer outcomes between Eastern and Western patients. These disparities have long been attributed to surgical technique and extent of lymphadenectomy. However, more recent evidence suggests that other factors such as tumor biology, environmental factors such as Helicobacter pylori infection and stage migration may also significantly contribute to these observed disparities. We review the literature surrounding disparities in gastric cancer and provide data pertaining to potential contributing factors. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.