دورية أكاديمية
Disparities in Access to Radiotherapy Among Hispanic/Latinx Populations in the United States: How Far Have We Left to Go?
العنوان: | Disparities in Access to Radiotherapy Among Hispanic/Latinx Populations in the United States: How Far Have We Left to Go? |
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المؤلفون: | Verdini NP; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY., Santos PMG; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY., Vicioso-Mora YM; Department of Radiation Oncology, Duke University, Durham, NC., Rivera A; Department of Radiation Oncology, University of Miami, Miami, FL., Perez CA; Department of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, TN., McClelland S; Department of Radiation Oncology and Neurological Surgery, University Hospitals Seidman Cancer Center, Case Western Reserve, Cleveland, OH. |
المصدر: | American journal of clinical oncology [Am J Clin Oncol] 2024 Jan 01; Vol. 47 (1), pp. 40-47. Date of Electronic Publication: 2023 Oct 26. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8207754 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-453X (Electronic) Linking ISSN: 02773732 NLM ISO Abbreviation: Am J Clin Oncol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: New York, N.Y. : Masson Pub. USA, c1982- |
مواضيع طبية MeSH: | Healthcare Disparities* , Radiation Oncology*, Humans ; Hispanic or Latino ; United States ; Health Services Accessibility |
مستخلص: | Objectives: The Hispanic/Latinx population has consistently faced disparities in oncology access and outcomes with cancer being the leading cause of death in this population. We evaluate recent research in radiation therapy disparities among the Hispanic/Latinx population in the United States since our seminal analysis from 2017. Methods: A PubMed literature search was conducted for articles published from January 2017 through March 2023. Four term combinations were utilized, including: (1) "Hispanic" and "Radiotherapy" and "Disparities", (2) "Latino" and "Radiotherapy" and "Hispanic", (3) "Hispanic" and "Radiation" and "Disparities", and (4) "Latino" and "Radiation" and "Disparities." Included studies were those taking place in the United States, examined radiation oncology care, and examined health disparities. Results: Fifty-eight of 245 articles returned met inclusion criteria and spanned 6 disparity-types: (1) Stage at Presentation, (2) Time to Treatment Initiation & Completion, (3) Receipt of Treatment and Guideline-Concordant Care, (4) Geography, (5) Clinical Trial Access and (6) Insurance Barriers and Treatment Center Type. The most common disparity was receipt of treatment and guideline-concordant care (n=39 studies), demonstrating that the Hispanic/Latinx population was less likely to receive guideline-concordant treatment or treatment at all. In additon, studies identified disparities in time to treatment and completion (n=12), geography (n=5), clinical trial access (n=3), and insurance and treatment center access (n=5). Conclusions: Disparities in radiotherapy access remain prominent for the Hispanic/Latinx population through a multitude of barriers, despite increasing interest in disparities research. Continued health care disparities research with tangible interventions are needed in radiation oncology to properly understand and address this problem. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
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تواريخ الأحداث: | Date Created: 20231026 Date Completed: 20231228 Latest Revision: 20240722 |
رمز التحديث: | 20240722 |
DOI: | 10.1097/COC.0000000000001063 |
PMID: | 37880834 |
قاعدة البيانات: | MEDLINE |
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