Division of Thoracic Imaging, Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Department of Radiology, University of Puerto Rico School of Medicine, Rio Piedras Medical Center Americo Miranda Avenue, San Juan, 00936, Puerto Rico.
Thorac Surg Clin. 2023 Nov;33(4):365-373. doi: 10.1016/j.thorsurg.2023.04.007. Epub 2023 May 25.
Identifying and managing lung cancer, the leading cause of cancer-specific mortality, depend on multiple medical and sociodemographic factors. Humanomics is a model that acknowledges that negative societal stressors from systemic inequity affect individual health by altering pro-inflammatory gene expression. The same factors which may predispose individuals to lung cancer may also obstruct equitably prompt diagnosis and treatment. Increasing lung cancer screening access can lessen disparities in outcomes among disproportionately affected communities. Here, the authors describe several individual, provider, and health system-level obstacles to lung cancer screening and offer actionable solutions to increase access.
识别和管理肺癌是癌症特异性死亡的主要原因,这取决于多种医学和社会人口因素。人类主义是一种模式,它认识到系统性不平等带来的负面社会压力会通过改变促炎基因表达来影响个人健康。可能使个人易患肺癌的相同因素也可能阻碍公平及时的诊断和治疗。增加肺癌筛查的机会可以减少受影响不成比例的社区之间在结果方面的差异。在这里,作者描述了肺癌筛查面临的几个个体、提供者和卫生系统层面的障碍,并提供了增加机会的可行解决方案。