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方案:英国接受移植/细胞治疗的血液系统恶性肿瘤相关诊疗结局存在哪些种族不平等?一项系统综述

英文原题:Protocol: what are the ethnic inequities in care outcomes related to haematological malignancies, treated with transplant/cellular therapies, in the UK? A systematic review.

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Protocol: what are the ethnic inequities in care outcomes related to haematological malignancies, treated with transplant/cellular therapies, in the UK? A systematic review.

PubMed 2025/05/21(内容时间) BMJ Open Q2 · IF 2.5(JCR 2025)

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中文摘要

引言:英国血液系统癌症较常见,形态类型多样。干细胞移植和嵌合抗原受体(CAR)T细胞疗法为难治性血液系统癌症提供了重要治疗选择,但治疗结局难以预测。研究治疗疗效决定因素及治疗可及性,对于确保患者公平获益和安全至关重要。相关研究中少数族裔代表性不足也引发担忧。本研究旨在报告当前认识,为未来研究提供指导。方法与分析:我们将检索多个数据库,查找英国少数族裔接受造血干细胞移植或CAR-T 细胞疗法的相关文献,检索范围限于2011年及以后发表的研究。将分析多项结局,涵盖目标人群患者的全程照护路径,重点关注治疗后随访。计划开展叙述性综合分析,并在适用时进行荟萃分析。伦理与传播:本研究无需伦理批准。研究成果将发表于适当期刊,并与国家健康与护理研究所精准移植与细胞治疗血液和移植研究单位(BTRU)团队讨论,也将与BTRU患者伙伴组交流。

展开英文摘要原文

INTRODUCTION: Haematological cancers are common in the UK, with a variety of morphologies. Stem cell transplants and chimeric antigen receptor (CAR) T-cell therapies provide significant options for hard to treat haematological cancers, although with difficult to predict outcomes. Research into the determinates of treatment efficacy, and access to treatments, is key to ensuring equal benefit across patients and patient safety. With this, there are concerns about the small representation of minority groups in related research.

We aim to report on the current knowledge to guide future research. METHODS AND ANALYSIS: A variety of databases will be searched for literature on UK minority ethnic populations receiving haematopoietic stem cell transplant or CAR T-cell therapy. Searches will be restricted to the year 2011 or later. Many outcomes will be analysed, covering the patient care pathway for those of the target population, although with a focus on follow-up after therapy.

Plans have been made to conduct narrative synthesis, with meta-analysis where applicable. ETHICS AND DISSEMINATION: Ethical approval is not required for this study. Outputs will be published in an appropriate journal and discussed with the wider National Institute for Health and Care Research Blood and Transplant Research Unit in Precision Transplant and Cellular Therapeutics (BTRU) group. Discussions will also be undertaken with the BTRU patient partners group.

论文信息

作者
Cusworth S、Deplano Z、Denniston AK、Burns D、Nirantharakumar K、Adderley N、Chandan JS
单位
NIHR, Blood and Transplant Research Unit (BTRU) in Precision Transplant and Cellular Therapeutics, University of Birmingham, Birmingham, England, UK s.j.cusworth@bham.ac.uk.United Kingdom
期刊
BMJ open2025 May 21
原文标识
PubMed 40398944 · DOI 10.1136/bmjopen-2025-099354