Existing Health Inequities in the Treatment of Advanced and Metastatic Cancers.

IF 4.7 2区 医学 Q1 ONCOLOGY Current Oncology Reports Pub Date : 2024-11-04 DOI:10.1007/s11912-024-01617-3
Navya Nair, Matthew Schlumbrecht
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引用次数: 0

Abstract

Purpose of review: This study aims to identify health inequities related to the medical treatment and supportive care of patients with advanced/metastatic cancer and recommend solutions to promote health equity.

Recent findings: Despite robust strides in the development of therapeutic strategies for advanced and metastatic cancer, significant disparities in treatment access and implementation exist. Race, socioeconomic status, gender, and geography represent just a few of the individual-level factors which contribute to challenges in treatment administration, thorough evaluation of germline genetics and tumor genomics, and quality palliative and end-of-life care. Given the increasing complexity of cancer treatments and our enhanced understanding of tumor biology, efforts to uniformly provide equitable and high-level care to all patients are needed. In this review we will discuss factors that contribute to health inequities in patients with advanced and metastatic cancer diagnoses, highlighting opportunities for intervention, ongoing challenges in change implementation, and national and international society recommendations to eliminate disparities. Acknowledging existing inequities and engaging in multilevel discourse with key stakeholders is needed to optimize care practices to the benefit of all patients.

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晚期和转移性癌症治疗中现有的健康不平等。
审查目的:本研究旨在确定与晚期/转移性癌症患者的医疗和支持性护理相关的健康不公平现象,并提出促进健康公平的解决方案:尽管在晚期和转移性癌症治疗策略的开发方面取得了长足进步,但在治疗机会和实施方面仍存在显著差异。种族、社会经济地位、性别和地理位置只是导致治疗管理、种系遗传学和肿瘤基因组学的全面评估以及优质姑息治疗和临终关怀面临挑战的几个个体层面的因素。鉴于癌症治疗的日益复杂性和我们对肿瘤生物学的进一步了解,我们需要努力为所有患者提供公平和高水平的护理。在这篇综述中,我们将讨论导致晚期和转移性癌症患者健康不平等的因素,强调干预的机会、实施变革过程中的持续挑战,以及国家和国际社会为消除不平等而提出的建议。我们需要承认现有的不公平现象,并与主要利益相关者进行多层次的讨论,以优化护理实践,造福所有患者。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. 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. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
期刊最新文献
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