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Racial disparities in cancer care in the Veterans Affairs health care system and the role of site of care.退伍军人事务医疗保健系统中癌症护理的种族差异以及护理地点的作用。
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'Race' and prostate cancer mortality in equal-access healthcare systems.在公平医疗保健体系中，“种族”与前列腺癌死亡率的关系。
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Race and discretion in American medicine.美国医学中的种族与审慎
Yale J Health Policy Law Ethics. 2001 Spring;1:95-131.
2
Cancer statistics, 2003.2003年癌症统计数据。
CA Cancer J Clin. 2003 Jan-Feb;53(1):5-26. doi: 10.3322/canjclin.53.1.5.
3
Prejudice, clinical uncertainty and stereotyping as sources of health disparities.偏见、临床不确定性和刻板印象作为健康差距的根源。
J Health Econ. 2003 Jan;22(1):89-116. doi: 10.1016/s0167-6296(02)00098-x.
4
Race as an outcome predictor after radical prostatectomy: results from the Shared Equal Access Regional Cancer Hospital (SEARCH) database.前列腺癌根治术后种族作为预后预测指标：来自共享平等医疗区域癌症医院（SEARCH）数据库的结果
Urology. 2002 Oct;60(4):670-4. doi: 10.1016/s0090-4295(02)01847-2.
5
Impact of race on cardiac care and outcomes in veterans with acute myocardial infarction.种族对急性心肌梗死退伍军人心脏护理及预后的影响。
Med Care. 2002 Jan;40(1 Suppl):I86-96. doi: 10.1097/00005650-200201001-00010.
6
Racial variations in postoperative outcomes of carotid endarterectomy: evidence from the Veterans Affairs National Surgical Quality Improvement Program.颈动脉内膜切除术术后结局的种族差异：来自退伍军人事务部国家外科质量改进计划的证据。
Med Care. 2002 Jan;40(1 Suppl):I35-43.
7
Research on the provider contribution to race/ethnicity disparities in medical care.医疗服务提供者对医疗保健中种族/族裔差异的影响研究。
Med Care. 2002 Jan;40(1 Suppl):I140-51. doi: 10.1097/00005650-200201001-00015.
8
Racial differences in the use of invasive cardiovascular procedures: review of the literature and prescription for future research.侵入性心血管手术使用方面的种族差异：文献综述及未来研究建议
Ann Intern Med. 2001 Sep 4;135(5):352-66. doi: 10.7326/0003-4819-135-5-200109040-00012.
9
Race and the decision to refer for coronary revascularization: the effect of physician awareness of patient ethnicity.
J Am Coll Cardiol. 2001 Sep;38(3):698-704. doi: 10.1016/s0735-1097(01)01418-8.
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Racial differences in the use of lumbar spine radiographs: results from the Veterans Health Study.
Spine (Phila Pa 1976). 2001 Jun 15;26(12):1364-9. doi: 10.1097/00007632-200106150-00021.

退伍军人事务部和私营部门医疗保健系统中前列腺癌诊断后的死亡率决定因素。

Determinants of mortality following a diagnosis of prostate cancer in Veterans Affairs and private sector health care systems.

作者信息

Freeman Vincent L, Durazo-Arvizu Ramon, Arozullah Ahsan M, Keys LaShon C

机构信息

VA Hospital, Hines, IL 60141, USA.

出版信息

Am J Public Health. 2003 Oct;93(10):1706-12. doi: 10.2105/ajph.93.10.1706.

DOI:10.2105/ajph.93.10.1706
PMID:14534226
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1448038/
Abstract

OBJECTIVES

We compared patterns of mortality among men with prostate cancer at 2 Department of Veterans Affairs (VA) and 2 private-sector hospitals in the Chicago area.

METHODS

Mortality rates for 864 cases diagnosed between 1986 and 1990 were estimated using Cox proportional hazards models that incorporated age; income; cancer stage, differentiation, and treatments; and baseline comorbidity.

RESULTS

Race tended to associate with all-cause mortality irrespective of health care setting (Blacks vs Whites: hazard rate ratio [HRR] = 1.68 [95% confidence interval (CI) = 1.06, 2.67]; P <.001 in the private sector; HRR = 1.50 [95% CI = 0.94, 2.38]; P =.088 in the VA). However, comorbidity determined risk in the VA, whereas age and income predicted risk in the private sector.

CONCLUSIONS

Determinants of all-cause mortality in men with prostate cancer vary according to health care setting.

摘要

目的

我们比较了芝加哥地区2家退伍军人事务部（VA）医院和2家私立医院中前列腺癌男性患者的死亡率模式。

方法

使用Cox比例风险模型估计1986年至1990年间确诊的864例患者的死亡率，该模型纳入了年龄、收入、癌症分期、分化程度和治疗情况以及基线合并症。

结果

无论医疗环境如何，种族都与全因死亡率相关（黑人与白人相比：风险率比[HRR]=1.68[95%置信区间（CI）=1.06,2.67]；在私立部门P<.001；HRR=1.50[95%CI=0.94,2.38]；在VA中P=.088）。然而，合并症决定了VA中的风险，而年龄和收入预测了私立部门中的风险。

结论

前列腺癌男性患者全因死亡率的决定因素因医疗环境而异。