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Pancreatic Adenocarcinoma in New Mexico Native Americans: Disparities in Treatment and Survival

机译:新墨西哥原生美洲人的胰腺腺癌:治疗和生存的差异

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In this study, we examined the treatment and outcomes of pancreatic adenocarcinoma in New Mexico Native Americans (NA). Methods. A retrospective review of patients treated for pancreatic adenocarcinoma at a university cancer center from 2002-2016 comparing demographic characteristics, disease presentation, treatment, and outcomes among three main ethnic groups in New Mexico. Results. We identified 457 patients: 240 (52.5%) non-Hispanic Whites, 186 (40.7%) Hispanics, and 31 (6.8%) NA. Non-Hispanic Whites (OR 2.41; p=.026) and Hispanics (OR 2.37; p=.032) were more likely to receive or be offered chemotherapy than NA. More NA than non-Hispanic Whites died within one month of diagnosis (25.8% and 7.5%, respectively; p=.004). The NAs demonstrated a 26.2% one-year survival (CI 11.7-43.3), compared with 48.3% in non-Hispanic Whites (CI 40.9-55.2; p=.015). Conclusion. Significant disparities exist in the treatment and outcomes of pancreatic adenocarcinoma in New Mexico NA populations.
机译:在这项研究中,我们研究了新墨西哥美洲人(NA)的胰腺腺癌的治疗和结果。 方法。 2002 - 2016年癌症中心对胰腺癌中心治疗患者的回顾性综述比较新墨西哥州三个主要族群中的人口统计学特征,疾病介绍,治疗和成果。 结果。 我们鉴定了457名患者:240名(52.5%)非西班牙裔白人,186名(40.7%)西班牙裔和31名(6.8%)NA。 非西班牙裔人(或2.41; p = .026)和西班牙裔(或2.37; p = .032)比na更容易接受或提供化疗。 比非西班牙裔白人更多的诊断(分别为25.8%和7.5%; p = .004)。 NAS展示了26.2%的一年存活(CI 11.7-43.3),而非西班牙裔白人(CI 40.9-55.2; P = .015)相比,48.3%。 结论。 新墨西哥群人群胰腺腺癌的治疗和结果存在显着差异。

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