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一篇关于 IRONMAN 注册研究中黑人和白人晚期前列腺癌男性护理质量指标比较的社论。

An editorial on a comparison of care quality metrics between Black and White men with advanced prostate cancer in the IRONMAN registry.

机构信息

Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

Cancer. 2023 Aug 15;129(16):2453-2455. doi: 10.1002/cncr.34886. Epub 2023 May 28.

DOI:10.1002/cncr.34886
Abstract

This editorial highlights key findings from the manuscript entitled "Experience with the US health care system for Black and White patients with advanced prostate cancer" in the Cancer journal. Namely, the Black men and White men recruited in US sites for the International Registry for Men with Advanced Prostate Cancer (IRONMAN) registry reported similar and mainly affirmative responses for health care quality metrics on a survey. In non-National Cancer Institute-designated centers, the care was actually worse for the White participants than for the Black participants. The study's results suggest that clinical trial enrollment may be a way to improve health care quality and eliminate disparities for Black men. Whether this healthcare quality benefit extends beyond the few IRONMAN recruitment sites where Black men were recruited or beyond a few measures of healthcare quality remains to be seen.

摘要

这篇社论强调了题为“美国医疗保健系统治疗晚期前列腺癌的黑人和白人患者的经验”一文的主要发现,该文发表在《癌症杂志》上。具体来说,在美国参与国际晚期前列腺癌男性登记处(IRONMAN)登记的黑人男性和白人男性在一项调查中对医疗质量指标的报告相似,且主要是肯定的。在非美国国立癌症研究所指定的中心,白人参与者的护理实际上比黑人参与者更差。该研究结果表明,临床试验的参与可能是改善医疗质量和消除黑人男性差异的一种方式。这种医疗质量的益处是否不仅限于招募黑人男性的少数几个 IRONMAN 招募站点,或者是否不仅限于少数几个医疗质量指标,还有待观察。

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本文引用的文献

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Healthcare Provider Communication Patterns during Consultations about Treating Localized Prostate Cancer.关于局部前列腺癌治疗的会诊期间医疗服务提供者的沟通模式。
J Best Pract Health Prof Divers. 2013 Spring;6(1):876-890.
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Are National Cancer Control Indicators for patient experiences being met in regional and remote Australia? A cross-sectional study of cancer survivors who travelled for treatment.澳大利亚地区和偏远地区的国家癌症控制指标是否满足患者体验?一项对因治疗而旅行的癌症幸存者的横断面研究。
BMJ Open. 2021 Feb 22;11(2):e042507. doi: 10.1136/bmjopen-2020-042507.
3
Association of Black Race With Prostate Cancer-Specific and Other-Cause Mortality.
黑种人与前列腺癌特异性和其他原因死亡率的关联。
JAMA Oncol. 2019 Jul 1;5(7):975-983. doi: 10.1001/jamaoncol.2019.0826.
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Racial and Ethnic Differences in Prostate Cancer Survivors' Perceived Engagement in Treatment Decision-Making.前列腺癌幸存者在治疗决策中的参与感的种族和民族差异。
J Racial Ethn Health Disparities. 2018 Dec;5(6):1273-1283. doi: 10.1007/s40615-018-0475-0. Epub 2018 Mar 7.
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Representation of Minorities and Women in Oncology Clinical Trials: Review of the Past 14 Years.肿瘤学临床试验中少数群体和女性的代表性:对过去 14 年的回顾。
J Oncol Pract. 2018 Jan;14(1):e1-e10. doi: 10.1200/JOP.2017.025288. Epub 2017 Nov 3.
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JAMA Oncol. 2015 Dec;1(9):1303-10. doi: 10.1001/jamaoncol.2015.3151.
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Decisional regret after robotic-assisted laparoscopic prostatectomy is higher in African American men.在接受机器人辅助腹腔镜前列腺切除术后,非裔美国男性的决策性遗憾程度更高。
Urol Oncol. 2014 May;32(4):419-25. doi: 10.1016/j.urolonc.2013.10.011. Epub 2014 Jan 9.
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Patient Educ Couns. 2013 Jan;90(1):61-8. doi: 10.1016/j.pec.2012.08.007. Epub 2012 Aug 31.
10
Are there racial differences in patients' shared decision-making preferences and behaviors among patients with diabetes?糖尿病患者的决策偏好和行为是否存在种族差异?
Med Decis Making. 2011 May-Jun;31(3):422-31. doi: 10.1177/0272989X10384739. Epub 2010 Dec 2.