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加拿大农村和偏远地区人群的癌症相关护理:一项范围综述。

Cancer-related care for rural and remote populations in Canada: A scoping review.

作者信息

Galica Jacqueline, Alsius Agnès, Sahi Sania, Holmes Jessica, Kerr Hanna, Bildfell Kirsten, Patton Laura, Sinasac Claudia, Ross-White Amanda, Crawford Joanne

机构信息

Queen's University School of Nursing, Kingston, Ontario; Queen's Cancer Research Institute, Division of Cancer Care and Epidemiology; Kingston, Ontario.

Queen's University School of Nursing, Kingston, Ontario.

出版信息

Can Oncol Nurs J. 2025 Jan 1;35(1):3-52. doi: 10.5737/236880763513. eCollection 2025 Winter.

Abstract

BACKGROUND

Synthesizing unique barriers to cancer-related care among rural and remote populations would be useful to inform future research and health service priorities. To fill this gap, the overall goal of this review is to synthesize the cancer literature about those living in rural and remote locations in Canada.

METHODS

Using JBI scoping review methods, we extracted the following: definition of rural or remote; phase of cancer care continuum (screening, diagnosis, treatment/care, post-treatment, outcomes); province( s) and/or territory(ies) of the sample; and cancer diagnosis(es).

RESULTS

Within the 45 studies, definitions of rural and remote varied widely. The treatment/care phase was most often reflected (n = 18) followed by screening (n = 12). All provinces were represented and data from the Yukon Territory was lacking. Breast and colorectal cancer diagnoses were most common (n = 20 and n = 18, respectively) and most studies (n = 31) used quantitative designs.

CONCLUSION

Review results illuminate the state of cancer-related research of rural and remote populations across Canada and highlight implications for further examination.

摘要

背景

综合农村和偏远地区人群在癌症相关护理方面的独特障碍,将有助于为未来的研究和卫生服务重点提供信息。为填补这一空白,本综述的总体目标是综合有关加拿大农村和偏远地区居民的癌症文献。

方法

采用循证卫生保健国际协作组织(JBI)的范围综述方法,我们提取了以下内容:农村或偏远地区的定义;癌症护理连续统一体的阶段(筛查、诊断、治疗/护理、治疗后、结果);样本所在的省份和/或地区;以及癌症诊断。

结果

在45项研究中,农村和偏远地区的定义差异很大。治疗/护理阶段出现得最为频繁(n = 18),其次是筛查(n = 12)。所有省份均有涉及,但育空地区的数据缺失。乳腺癌和结直肠癌诊断最为常见(分别为n = 20和n = 18),且大多数研究(n = 31)采用定量设计。

结论

综述结果阐明了加拿大农村和偏远地区人群癌症相关研究的现状,并突出了进一步研究的意义。

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Rural vs urban inequalities in stage at diagnosis for lung cancer.农村与城市肺癌诊断时分期的不平等。
Cancer Treat Res Commun. 2021;29:100495. doi: 10.1016/j.ctarc.2021.100495. Epub 2021 Nov 26.

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