Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.
Cancer Invest. 2021 Jul-Aug;39(6-7):482-488. doi: 10.1080/07357907.2021.1938108. Epub 2021 Jun 17.
This study examined racial/ethnic differences in the use of high-quality hospitals among thyroid cancer patients. The study included adult patients diagnosed between 2004 and 2015 identified in the California Cancer Registry linked with hospital discharge records. Hospital quality was defined using a composite thyroid cancer-specific hospital quality score. Black (risk ratio [RR] 0.75, 95% CI 0.70-0.80), Hispanic (RR 0.73, 95% CI 0.71-0.75), and Asian/Pacific Islander patients (RR 0.86, 95% CI 0.84-0.89) were less likely to be treated in high-quality hospitals than non-Hispanic White patients. This disparity persisted after adjusting for insurance status and socioeconomic status.
本研究调查了甲状腺癌患者在使用高质量医院方面的种族/民族差异。该研究纳入了在加利福尼亚癌症登记处确诊、并与医院出院记录相链接的 2004 年至 2015 年间的成年患者。医院质量使用特定于甲状腺癌的医院质量综合评分来定义。黑人(风险比 [RR] 0.75,95%CI 0.70-0.80)、西班牙裔(RR 0.73,95%CI 0.71-0.75)和亚裔/太平洋岛民患者(RR 0.86,95%CI 0.84-0.89)接受高质量治疗的可能性低于非西班牙裔白人患者。在调整了保险状况和社会经济地位后,这种差异仍然存在。