• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of health care for the poor and underserved >Cancer Treatment Delays in American Indians and Alaska Natives Enrolled in Medicare
【24h】

Cancer Treatment Delays in American Indians and Alaska Natives Enrolled in Medicare

机译：美国印第安人和阿拉斯加的癌症治疗延误招聘中纳入Medicare

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

To assess whether timing of initial post-diagnosis cancer care differs between American Indian and Alaska Native (AI/AN) and non-Hispanic White (NHW) patients, we accessed SEER-Medicare data for breast, colorectal, lung, and prostate cancers (2001-2007). Medicare claims data were examined for initiation of cancer-directed treatment. Overall, AI/ANs experienced longer median times to starting treatment than NHWs (45 and 39 days, p<.001) and lower rates of treatment initiation (HR[95%CI]: 0.86[0.79-0.93]). Differences were largest for prostate (HR: 0.80[0.71-0.89]) and smallest for breast cancer (HR: 0.96[0.83-1.11]). American Indians / Alaska Natives also had elevated odds of greater than 10 weeks between diagnosis and treatment compared with NHWs (OR[95% CI]: 1.37[1.16-1.63]), especially for prostate cancer (OR: 1.41[1.14-1.76]). Adjustment for comorbidity and socio-demographic factors attenuated associations except for prostate cancer. In this insured population, we observed evidence that AI/ANs start cancer therapy later than NHWs. The modest magnitude of delays suggests that they are unlikely to be a determinant of survival disparities.
机译：为了评估初始诊断后癌症护理的时间是否与美国印度和阿拉斯加本地（AI / AN）和非西班牙裔（NHW）患者之间的不同之处，我们访问了Seer-Medicare数据的乳腺，结肠直肠，肺和前列腺癌（ 2001-2007）。检测Medicare索赔数据以启动癌症定向治疗。总体而言，AI / ANS经历了比NHW（45和39天，P <.001）的较长的中学时间来开始治疗，并且治疗开始的较低速率（HR [95％CI]：0.86 [0.79-0.93]）。前列腺差异最大（HR：0.80 [0.71-0.89]）和乳腺癌最小（HR：0.96 [0.83-1.11]）。与NHW（或[95％CI]：1.37 [1.16-1.63]相比，美国印第安人/阿拉斯加的当地人在诊断和治疗之间的诊断和治疗之间的几周内也升高了大于10周（或者[1.37 [1.16-1.63]），特别是前列腺癌（或：1.41 [1.14-1.76] ）。调整合并症和社会人口统计因子的衰减关联除前列腺癌外。在这种被保险人口中，我们观察到证据表明AI / ANS在晚年后开始癌症治疗。适度的延迟幅度表明它们不太可能是生存差异的决定因素。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号