国家卫生系统对肺癌死亡率的影响
The impact of national health systems on lung cancer mortality.
作者
作者单位
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA; Stanford University, Stanford, CA, USA.
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA. Electronic address: deee1@mskcc.org.
- Department of Radiation Oncology, University Hospital Zurich, University of Zurich, Rämistrasse 100, 8091 Zurich, Switzerland.
- Department of Hematology/Oncology, Northwell Health Cancer Institute, New Hyde Park, NY, USA.
- Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
- Department of Surgery, University of Santo Tomas Hospital, Manila, Philippines.
- Department of Oncology, Queen's University, Kingston, ON, Canada; Latin America Cooperative Oncology Group, Porto Alegre, Brazil.
- Department of Radiation Oncology, Perlmutter Cancer Center, New York University School of Medicine, New York, NY, USA.
- Department of Clinical Oncology, University of Manchester & The Christie NHS Foundation Trust, Manchester, UK.
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
摘要
中文
气管、支气管和肺癌是全球癌症死亡的主要原因；因此，了解与肺癌患者结局相关的杠杆可能为卫生系统规划和投资提供信息。我们使用来自世界卫生组织（WHO）、世界银行、放疗中心目录（DIRAC）、联合国开发计划署（UNDP）和国际癌症研究机构（IARC）的全球卫生系统数据，评估改善气管、支气管和肺癌全球结局的预测因素。在多变量模型中，卫生支出、护士/助产士密度、全民健康覆盖指数和放疗中心密度与气管、支气管和肺癌较低的死亡率与发病率之比独立相关，而医生密度具有较小的正向调整关联。这些发现对于面临高或日益增长的肺癌负担的国家可能特别有用。
English
Cancers of the trachea, bronchus, and lung represent the leading cause of cancer death globally; therefore, understanding the levers that are associated with outcomes of patients with lung cancer may inform health system planning and investment. We used global health system data from the World Health Organization (WHO), the World Bank, the Directory of Radiotherapy Centres (DIRAC), the United Nations Development Programme (UNDP), and the International Agency for Research on Cancer (IARC) to evaluate predictors of improved global outcomes for cancers of the trachea, bronchus, and lung. In a multivariable model, health spending, nurse/midwife density, universal health coverage index, and radiotherapy center density were independently associated with lower mortality-to-incidence ratio for cancers of the trachea, bronchus, and lung, whereas physician density had a small positive adjusted association. These findings may be of particular utility for countries facing a high or increasing burden of lung cancer.
分类与指标
- 研究类型
- 临床研究
- 病种
- 肺癌
- JCR 分区
- Q1
- 影响因子
- 9.8
- 新锐分区
- 1区