McGill University Health Centre, Montreal, Quebec, Canada.
Cook Children's Medical Center, Fort Worth, TX.
Am Soc Clin Oncol Educ Book. 2021 Mar;41:1-7. doi: 10.1200/EDBK_320463.
Disparities in health care have an adverse effect on the outcome of disadvantaged patients with cancer. Patients may be at a disadvantage because of geographic isolation; insurance status; or racial, ethnic, or other factors. In this article, we examine how disparities affect the care of patients with sarcoma in the United States, Canada, and the Asia-Pacific region. Because of the rarity of sarcomas and their challenging diagnosis and complex treatment patterns, some professional or national guidelines stipulate that patients with sarcoma should be treated at centers of expertise by multidisciplinary teams. This recommendation, based on published evidence, is not always applicable because of various sociopolitical or patient-related factors. We are proposing solutions to overcome these obstacles in a practical and patient-centered way while acknowledging that disparities exist among countries as well as within any country.
医疗保健方面的差异对处于不利地位的癌症患者的治疗结果有不利影响。患者可能处于不利地位，原因包括地理位置偏远、保险状况，或种族、民族或其他因素。本文探讨了差异如何影响美国、加拿大和亚太地区肉瘤患者的治疗。由于肉瘤罕见，且其诊断和复杂的治疗模式极具挑战性，一些专业或国家指南规定肉瘤患者应在多学科团队的专业中心接受治疗。这一建议基于已发表的证据，但由于各种社会政治或与患者相关的因素，并不总是适用。我们正在提出切实可行的以患者为中心的解决方案来克服这些障碍，同时承认国家之间以及任何国家内部都存在差异。
