Disparities in Musculoskeletal Oncology.

IF 2.9 2区医学 Q1 ORTHOPEDICS Current Reviews in Musculoskeletal Medicine Pub Date : 2024-09-24 DOI:10.1007/s12178-024-09925-8

Abigail Koons, Elyse Smith, Jeffrey C Stephens, Natilyn H McKnight, Jennifer Barr, Izuchukwu K Ibe

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Abstract

Purpose of review: 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.

Recent findings: 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.

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肌肉骨骼肿瘤学中的差异。

审查目的：医疗保健系统中的差异是导致患者治疗效果不佳的护理障碍。这些医疗差距存在于医学的方方面面，并延伸到了肌肉骨骼肿瘤治疗领域。健康差异有多种因素，其中有些因素是可改变的，有些是不可改变的。这些因素对患者获得治疗的机会、发病时间、健康的不良社会决定因素、治疗效果和存活率起着直接作用：在肌肉骨骼肿瘤治疗中，种族、社会经济因素和保险状况等因素与肉瘤患者的发病时间和存活率相关。这些因素使协调护理的适当提供变得复杂，而协调护理是优化患者预后所必需的。医疗保健方面的差异导致需要接受肌肉骨骼肿瘤治疗的患者在短期和长期内都无法获得最佳治疗效果。我们需要开展更多的研究，找出解决已知可改变和不可改变因素的方法，以改善患者的治疗效果。

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来源期刊

Current Reviews in Musculoskeletal Medicine ORTHOPEDICS-

CiteScore

7.50

自引率

2.40%

发文量

期刊介绍： This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.