Ethnic Differences in Survival Among Lung Cancer Patients: A Systematic Review.

Ethnic Differences in Survival Among Lung Cancer Patients: A Systematic Review.
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DOI:
10.1093/jncics/pkab062
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发表时间:
2021-10
影响因子:
4.4
通讯作者:
Ruiz JM
Ruiz JM
中科院分区:
其他
文献类型:
--
作者:
Price SN;Flores M;Hamann HA;Ruiz JM

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尽管风险因素要糟糕得多,但与非拉美裔白人(NHW)相比,美国拉美裔美国人患许多疾病的几率更低,生存时间更长,这是一种被称为拉美裔健康悖论(HHP)的流行病现象。这篇系统性的综述对已发表的纵向文献进行了评估,以确定这种模式是否延伸到肺癌的存活率。检索Medline、PubMed、Embase、Web of Science和Cochrane图书馆,检索日期为2000年1月1日至2018年7月18日的出版物。记录仅限于用英语撰写的文章,采用纵向设计,并报告了NHW和西班牙裔肺癌患者之间的直接生存比较(总体生存率[OS],癌症特异性生存率[CS])。最终样本包括29篇全文文章,包括28个完全调整的OS模型和21个CS模型。总体而言,26个(92.9%)OS型号和20个(95.2%)CS型号记录了没有差异(OS=16,CS=11)或西班牙裔生存优势(OS=10,CSS=9)。规模较大的研究和包括在外国出生的拉美裔美国人的研究都更有可能显示拉美裔美国人的生存优势,而两项针对完全不吸烟的人的研究显示生存劣势。查明了一些报告方面的差距,包括西班牙裔背景和社会人口特征。在肺癌的情况下,拉美裔人的存活率与卫生保健工作者相似或更好,尽管风险因素要差得多。这些发现支持肺癌背景下的HHP。需要进一步的研究来了解HHP与肺癌相关的潜在机制。
Despite a substantially worse risk factor profile, Hispanics in the United States experience lower incidence of many diseases and longer survival than non-Hispanic Whites (NHWs), an epidemiological phenomenon known as the Hispanic Health Paradox (HHP). This systematic review evaluated the published longitudinal literature to address whether this pattern extends to lung cancer survival. Searches of Medline, PubMed, Embase, Web of Science, and the Cochrane Library were conducted for publications dated from January 1, 2000, to July 18, 2018. Records were restricted to articles written in English, employing a longitudinal design, and reporting a direct survival comparison (overall survival [OS], cancer-specific survival [CSS]) between NHW and Hispanic lung cancer patients. A final sample of 29 full-text articles were included, with 28 fully adjusted models of OS and 21 of CSS included. Overall, 26 (92.9%) OS models and 20 (95.2%) CSS models documented either no difference (OS = 16, CSS = 11) or a Hispanic survival advantage (OS = 10, CSS = 9). Both larger studies and those including foreign-born Hispanics were more likely to show a Hispanic survival advantage, and 2 studies of exclusively no-smokers showed a survival disadvantage. A number of reporting gaps were identified including Hispanic background and sociodemographic characteristics. Hispanics exhibit similar or better survival in the context of lung cancer relative to NHWs despite a considerably worse risk factor profile. These findings support the HHP in the context of lung cancer. Further research is needed to understand the potential mechanisms of the HHP as it relates to lung cancer.
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发表时间: 2019-11-01
影响因子: 2.3
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Klugman, Madelyn;Xue, Xiaonan;Hosgood, H. Dean, III
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发表时间: 2017-09-01
期刊: Journal of the National Cancer Institute
影响因子: --
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