乳腺癌结局的差异及其解决方法。

Disparities in Breast Cancer Outcomes and How to Resolve Them.

机构信息

Department of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Department of Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA.

出版信息

Hematol Oncol Clin North Am. 2023 Feb;37(1):1-15. doi: 10.1016/j.hoc.2022.08.002.

DOI:10.1016/j.hoc.2022.08.002

PMID:36435603

Abstract

There has been a 40% decline in breast cancer age-adjusted death rate since 1990. Black American women have not experienced as great a decline; indeed, the Black-White disparity in mortality in the United States is greater today than it has ever been. Certain states (areas of residence), however, do not see such dramatic differences in outcome by race. This latter finding suggests much more can be done to reduce disparities and prevent deaths. Interventions to get high-quality care (screening, diagnostics, and treatment) involve understanding the needs and concerns of the patient and addressing those needs and concerns. Patient navigators are 1 way to improve outcomes.

摘要

自 1990 年以来，乳腺癌年龄标准化死亡率下降了 40%。美国黑人女性并未经历如此大的降幅；事实上，如今美国黑人和白人之间的死亡率差距比以往任何时候都大。然而，某些州（居住地区）并没有看到种族之间如此显著的结果差异。这一发现表明，可以采取更多措施来减少差异和预防死亡。获得高质量护理（筛查、诊断和治疗）的干预措施包括了解患者的需求和关注点，并解决这些需求和关注点。患者导航员是改善结果的一种方式。