移植肿瘤学中公平的重要性。

IF 1.8 4区 医学 Q3 TRANSPLANTATION Current Opinion in Organ Transplantation Pub Date : 2024-10-09 DOI:10.1097/MOT.0000000000001183
Sudha Kodali, Elizabeth W Brombosz, Maen Abdelrahim, Constance M Mobley
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引用次数: 0

摘要

审查目的:移植肿瘤学包括并利用肝移植(LT)与癌症护理的其他方面相结合,为肝癌患者提供更好的长期治疗效果,但并非所有患者都有同等机会和能力接受肝移植。健康的社会决定因素可能会对患者接受肝脏相关肿瘤治疗(包括LT)的能力产生负面影响。这篇综述重点介绍了最近的工作,这些工作揭示了在接受包括肿瘤移植在内的LT治疗方面存在的差距,以及为改善这些差距而采取的干预措施:最近的研究发现:少数种族和民族成员、土著群体、女性、社会经济地位低下者以及农村地区的患者接受LT的可能性较低。最近的研究还描述了一些项目,这些项目成功地缓解了这些患者在接受肿瘤移植手术时遇到的一些障碍,包括有针对性的外展项目和虚拟医疗服务。总结:人们越来越清楚地描述了肝癌患者在接受LT治疗时存在的差异,但还需要更多的研究来找到有效的方法来改善这些差异。
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The importance of equity in transplant oncology.

Purpose of review: Transplant oncology encompasses and utilizes liver transplantation (LT) in combination with other aspects of cancer care to offer improved long-term outcomes for patients with liver cancer, but not all patients have equal access and ability to undergo LT. Social determinants of health may negatively impact a patient's ability to receive liver-related oncologic care, including LT. This review highlights recent work exposing gaps in access to LT, including transplant oncology, and interventions to ameliorate these disparities.

Recent findings: Members of racial and ethnic minorities and indigenous groups, females, socioeconomically disadvantaged persons, and patients from rural areas are less likely to undergo LT. Recent studies have also described programs that have successfully mitigated some of the barriers in access to transplant oncology that these patients experience, including targeted outreach programs and access to virtual healthcare.

Summary: Disparities in access to LT for liver cancer are increasingly well described, but additional research is needed to find effective ways to ameliorate these differences.

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来源期刊
CiteScore
4.10
自引率
4.50%
发文量
124
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Organ Transplantation is an indispensable resource featuring key, up-to-date and important advances in the field from around the world. Led by renowned guest editors for each section, every bimonthly issue of Current Opinion in Organ Transplantation delivers a fresh insight into topics such as stem cell transplantation, immunosuppression, tolerance induction and organ preservation and procurement. With 18 sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, surgeons and other healthcare professionals alike.
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