Unterschiede durch sozioökomische Benachteiligung, genetischen Hintergrund und Geschlecht bei Tumorerkrankungen

Monika Engelhardt; Annamaria Brioli; Marie von Lilienfeld-Toal

doi:10.1055/a-1892-4833

DMW - Deutsche Medizinische Wochenschrift, Inhaltsverzeichnis

Dtsch Med Wochenschr 2023; 148(09): 528-538
DOI: 10.1055/a-1892-4833

Dossier

Unterschiede durch sozioökomische Benachteiligung, genetischen Hintergrund und Geschlecht bei Tumorerkrankungen

Ein intersektionaler Ansatz, um Versorgungslücken für marginalisierte Gruppen zu schließenDifferences due to socio-economic status, genetic background and sex in cancer and precision medicineAn intersectional approach to close the care gap for marginalized groups

Monika Engelhardt

,

Annamaria Brioli

,

Marie von Lilienfeld-Toal

Abstract

Die Evidenz, dass individuelle biologische und soziale Faktoren differente Symptome und Verläufe von Tumorerkrankungen bedingen, ist durch die COVID-19-Pandemie noch deutlicher geworden. Tumorepidemiologische und präzisionsonkologische Untersuchungen zeigen, dass Geschlechtsdifferenzen in Tumorstudien bestehen, bestimmte Gruppen genetischer Herkunft unterrepräsentiert sind und insgesamt Studienpopulationen unausgewogen bleiben. Insbesondere benachteiligte Bevölkerungsgruppen werden selten darin abgebildet. Der Beitrag bietet eine aktuelle Übersicht über diversitätsspezifische Aspekte in der Onkologie, die zukünftig verbessert werden sollten.

Abstract

Malignant tumor diseases constitute the 2^nd most common cause of death and due to our extended life expectancy cancer per se has substantially increased, being highly prevalent after cardiovascular diseases. Evidence also generated from the COVID-19 pandemic, that defined gender differences exist in symptom and disease courses, and have advocated the need to assess gender, ethnic/racial and minority differences in cancer care and treatment more meticulously. It is becoming increasingly evident that in novel cancer care/precision oncology, representation of minorities, elderly and frail patients in clinical trials remains largely unbalanced, thus distribution of cancer success is iniquitous. This article focusses on these aspects and suggests solutions, how this can be improved.

Schlüsselwörter

Tumorerkrankungen - ethnische - Geschlechts- und Minoritäten-Differenzen

Key words

cancer treatment - racial/ethnic- - gender-, minority-differences

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Referenzen

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