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肺动脉高压中的医疗保健差异。

Health Care Disparities in Pulmonary Arterial Hypertension.

机构信息

Division of Pulmonary, Critical Care and Sleep Medicine, University of Oklahoma Health Sciences Center, 800 Stanton L. Young Boulevard, Suite 8400, Oklahoma City, OK 73104, USA.

Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Grant S140B, Stanford, CA 94305, USA; Vera Moulton Wall Center for Pulmonary Disease at Stanford University, Stanford, CA, USA.

出版信息

Clin Chest Med. 2023 Sep;44(3):543-554. doi: 10.1016/j.ccm.2023.03.010. Epub 2023 May 23.

Abstract

The current approach for the management of pulmonary arterial hypertension (PAH) relies on data gathered from clinical trials and large registries. However, there is concern that minorities including Black, Indigenous, and People of Color are underrepresented in these trials and registries, making current data not generalizable to these groups of patients. Hence, it is important to discuss the significance of race/ethnicity and socioeconomic factors in patients with PAH. Here, we review the current knowledge on health care disparities in PAH. We also propose future steps in the global task of assuring justice and equality in access to pulmonary hypertension health care.

摘要

目前肺动脉高压(PAH)的管理方法依赖于临床试验和大型注册研究的数据。然而,人们担心包括黑人、原住民和有色人种在内的少数群体在这些试验和注册研究中代表性不足,使得当前的数据无法推广到这些患者群体。因此,讨论 PAH 患者中的种族/民族和社会经济因素的意义非常重要。在这里,我们回顾了 PAH 中医疗保健差异的现有知识。我们还提出了在确保全球肺动脉高压医疗保健获得公平正义的全球任务中的未来步骤。

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