Disparities Among Cervical Cancer Patients Receiving Brachytherapy
Disparities Among Cervical Cancer Patients Receiving Brachytherapy
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DOI：
10.1097/aog.0000000000003401
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发表时间：
2019-09-01
影响因子：
7.2
通讯作者：
Shahin, Mark S.
中科院分区：
文献类型：
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作者：
Bruce, Shaina F.;Joshi, Tanvi V.;Shahin, Mark S.
目的：评价种族和保险状况对近距离放疗治疗宫颈癌的影响。方法：这是一项来自国家癌症数据库的回顾性队列研究。我们确定了25223例通过IVA诊断为IB2期的宫颈癌患者，他们在2004年至2015年的初次治疗期间接受了放疗。单因素分析用于评估与近距离治疗的协变量关联。采用多变量回归模型评价种族和保险状况对近距离放疗率的影响。采用Cox比例风险模型和乘法风险模型评价总生存率。P
OBJECTIVE: To evaluate the effects of race and insurance status on the use of brachytherapy for treatment of cervical cancer.METHODS: This is a retrospective cohort study of the National Cancer Database. We identified 25,223 patients diagnosed with stage IB2 through IVA cervical cancer who received radiation therapy during their primary treatment from 2004 to 2015. A univariate analysis was used to assess covariate association with brachytherapy. A multivariable regression model was used to evaluate the effect of race and insurance status on rates of brachytherapy treatment. The Cox proportional hazards model and the multiplicative hazard model were used to evaluate overall survival. P