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英国的癌症不平等现象及其测量数据:一项范围综述

Cancer inequalities in the United Kingdom and the data used to measure them: a scoping review.

作者信息

Underwood Sarah, Oguzman Emre, Cole Judith, Goldacre Raphael, Patel Nileema, Davies David, Friedemann-Smith Claire, Wright F Lucy, Lacey Ben, Nicholson Brian D, Shepperd Sasha, Lawler Mark, Morris Eva J A

机构信息

Applied Health Research Unit, Big Data Institute, Nuffield Department of Population Health, University of Oxford, UK.

Cancer Theme, Nuffield Department of Primary Care Health Sciences, University of Oxford, UK.

出版信息

Lancet Reg Health Eur. 2025 Mar 4;52:101246. doi: 10.1016/j.lanepe.2025.101246. eCollection 2025 May.

Abstract

Significant cancer inequalities may exist across the United Kingdom (UK). Data are required to delineate and quantify these inequalities. This scoping review was undertaken to map the research evidence on UK cancer inequalities and determine the current data available, and the data gaps, that, if filled, could inform a strategy to reduce them. 444 studies were included. Their distribution across inequality domains, care pathways and cancer sites was uneven. The majority of studies were based on administrative datasets, notably cancer registry data, with a wide-range of methods used to define inequality groups. No UK-wide population-based evidence was identified. The landscape of data available in the UK to study cancer inequalities is uneven. Although there is a large volume of evidence available, there remain major gaps in both the data available and the knowledge base they are deployed to generate. This deficit needs to be addressed as a matter of urgency.

摘要

英国各地可能存在显著的癌症不平等现象。需要数据来描绘和量化这些不平等现象。开展这项范围审查是为了梳理关于英国癌症不平等现象的研究证据,并确定现有数据以及数据缺口,若填补这些缺口,可为减少不平等现象的战略提供依据。共纳入了444项研究。它们在不平等领域、护理途径和癌症部位的分布并不均匀。大多数研究基于行政数据集,尤其是癌症登记数据,采用了广泛的方法来界定不平等群体。未发现全英国基于人群的证据。英国可用于研究癌症不平等现象的数据情况参差不齐。尽管有大量证据,但现有数据及其用于生成的知识库仍存在重大缺口。这一缺陷亟待解决。

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