Koons Abigail, Smith Elyse, Stephens Jeffrey C, McKnight Natilyn H, Barr Jennifer, Ibe Izuchukwu K
Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, 2500 N State St, Jackson, MS, 39216, USA.
Curr Rev Musculoskelet Med. 2024 Dec;17(12):527-537. doi: 10.1007/s12178-024-09925-8. Epub 2024 Sep 24.
Disparities within the healthcare system serve as barriers to care that lead to poor outcomes for patients. These healthcare disparities are present in all facets of medicine and extend to musculoskeletal oncology care. There are various tenets to health disparities with some factors being modifiable and non-modifiable. The factors play a direct role in a patient's access to care, time of presentation, poor social determinants of health, outcomes and survival.
In musculoskeletal oncologic care, factors such as race, socioeconomic factors and insurance status are correlated to advanced disease upon presentation and poor survival for patients with a sarcoma diagnosis. These factors complicate the proper delivery of coordinated care that is required for optimizing patient outcomes. Healthcare disparities lead to suboptimal outcomes for patients who require musculoskeletal oncologic care in the short and long term. More research is required to identify ways to address the known modifiable and non-modifiable factors to improve patient outcome.
医疗保健系统中的差异成为医疗护理的障碍,导致患者预后不良。这些医疗保健差异存在于医学的各个方面,并延伸至肌肉骨骼肿瘤护理领域。健康差异有多种原则,其中一些因素是可改变的,而另一些是不可改变的。这些因素在患者获得护理的机会、就诊时间、不良的健康社会决定因素、预后及生存方面起着直接作用。
在肌肉骨骼肿瘤护理中,种族、社会经济因素和保险状况等因素与就诊时的晚期疾病以及肉瘤诊断患者的低生存率相关。这些因素使优化患者预后所需的协调护理的正确实施变得复杂。医疗保健差异导致需要肌肉骨骼肿瘤护理的患者在短期和长期内都无法获得最佳预后。需要更多研究来确定应对已知的可改变和不可改变因素的方法,以改善患者预后。