Objective: Improvement in cancer survival over recent decades has not been accompanied by a narrowing of socioeconomic disparities. This study aimed to quantify the loss of life expectancy(LOLE) resulting from a cance...Objective: Improvement in cancer survival over recent decades has not been accompanied by a narrowing of socioeconomic disparities. This study aimed to quantify the loss of life expectancy(LOLE) resulting from a cancer diagnosis and examine disparities in LOLE based on area-level socioeconomic status(SES).Methods: Data were collected for all people between 50 and 89 years of age who were diagnosed with cancer, registered in the NSW Cancer Registry between 2001 and 2019, and underwent mortality follow-up evaluations until December 2020. Flexible parametric survival models were fitted to estimate the LOLE by gender and area-level SES for 12 common cancers.Results: Of 422,680 people with cancer, 24% and 18% lived in the most and least disadvantaged areas, respectively. Patients from the most disadvantaged areas had a significantly greater average LOLE than patients from the least disadvantaged areas for cancers with high survival rates, including prostate [2.9 years(95% CI: 2.5±3.2 years) vs. 1.6 years(95% CI: 1.3±1.9 years)] and breast cancer [1.6 years(95% CI: 1.4±1.8 years) vs. 1.2 years(95% CI: 1.0±1.4 years)]. The highest average LOLE occurred in males residing in the most disadvantaged areas with pancreatic [16.5 years(95% CI: 16.1±16.8 years) vs. 16.2 years(95% CI: 15.7±16.7 years)] and liver cancer [15.5 years(95% CI: 15.0±16.0 years) vs. 14.7 years(95% CI: 14.0±15.5 years)]. Females residing in the least disadvantaged areas with thyroid cancer [0.9 years(95% CI: 0.4±1.4 years) vs. 0.6 years(95% CI: 0.2±1.0 years)] or melanoma [0.9 years(95% CI: 0.8±1.1 years) vs. 0.7 years(95% CI: 0.5±0.8 years)] had the lowest average LOLE.Conclusions: Patients from the most disadvantaged areas had the highest LOLE with SES-based differences greatest for patients diagnosed with cancer at an early stage or cancers with higher survival rates, suggesting the need to prioritise early detection and reduce treatment-related barriers and survivorship challenges to improve life expectancy.展开更多
精确的环境感知是实现自主代客泊车(automated valet parking,AVP)功能的基础,传统的AVP系统主要依赖于单车的感知,但随着场端智能技术的不断发展,车端与场端之间协同交互成为自主代客泊车落地的必然趋势。本文提出了一种基于V2X车场协...精确的环境感知是实现自主代客泊车(automated valet parking,AVP)功能的基础,传统的AVP系统主要依赖于单车的感知,但随着场端智能技术的不断发展,车端与场端之间协同交互成为自主代客泊车落地的必然趋势。本文提出了一种基于V2X车场协同的地下停车场全域感知方法,该方法将地下停车场的全域感知问题转化为大规模图模型的构建与优化问题。通过输入场端激光雷达、摄像头的传感器信息以及智能网联车的感知数据,以车辆位姿为节点,建立多种边约束关系。为了提高感知精度,本文提出了一种融合车道级地图信息的大规模图模型方法,通过将停放车辆作为半静态信息约束,并结合车道级地图信息构建横向约束,在求解过程中引入滑动窗口以减小图模型的规模,最终以地图形式输出感知结果供车端使用。通过仿真实验和在占地面积为2 500 m^(2)以上的地下停车场场景中进行实地实验,结果表明,该方法显著提升了在复杂停车场环境下的感知能力,实现了地下停车场的全域感知。展开更多
基金supported by National Health and Research Council of Australia Leadership Investigator Grants (NHMRCAPP1194679)+1 种基金the ACPCC has received equipment and a funding contribution from Roche Molecular Diagnostics USAco-PI on a major implementation programme Elimination of Cervical Cancer in the Western Pacific,which has received support from the Minderoo Foundation。
文摘Objective: Improvement in cancer survival over recent decades has not been accompanied by a narrowing of socioeconomic disparities. This study aimed to quantify the loss of life expectancy(LOLE) resulting from a cancer diagnosis and examine disparities in LOLE based on area-level socioeconomic status(SES).Methods: Data were collected for all people between 50 and 89 years of age who were diagnosed with cancer, registered in the NSW Cancer Registry between 2001 and 2019, and underwent mortality follow-up evaluations until December 2020. Flexible parametric survival models were fitted to estimate the LOLE by gender and area-level SES for 12 common cancers.Results: Of 422,680 people with cancer, 24% and 18% lived in the most and least disadvantaged areas, respectively. Patients from the most disadvantaged areas had a significantly greater average LOLE than patients from the least disadvantaged areas for cancers with high survival rates, including prostate [2.9 years(95% CI: 2.5±3.2 years) vs. 1.6 years(95% CI: 1.3±1.9 years)] and breast cancer [1.6 years(95% CI: 1.4±1.8 years) vs. 1.2 years(95% CI: 1.0±1.4 years)]. The highest average LOLE occurred in males residing in the most disadvantaged areas with pancreatic [16.5 years(95% CI: 16.1±16.8 years) vs. 16.2 years(95% CI: 15.7±16.7 years)] and liver cancer [15.5 years(95% CI: 15.0±16.0 years) vs. 14.7 years(95% CI: 14.0±15.5 years)]. Females residing in the least disadvantaged areas with thyroid cancer [0.9 years(95% CI: 0.4±1.4 years) vs. 0.6 years(95% CI: 0.2±1.0 years)] or melanoma [0.9 years(95% CI: 0.8±1.1 years) vs. 0.7 years(95% CI: 0.5±0.8 years)] had the lowest average LOLE.Conclusions: Patients from the most disadvantaged areas had the highest LOLE with SES-based differences greatest for patients diagnosed with cancer at an early stage or cancers with higher survival rates, suggesting the need to prioritise early detection and reduce treatment-related barriers and survivorship challenges to improve life expectancy.
文摘精确的环境感知是实现自主代客泊车(automated valet parking,AVP)功能的基础,传统的AVP系统主要依赖于单车的感知,但随着场端智能技术的不断发展,车端与场端之间协同交互成为自主代客泊车落地的必然趋势。本文提出了一种基于V2X车场协同的地下停车场全域感知方法,该方法将地下停车场的全域感知问题转化为大规模图模型的构建与优化问题。通过输入场端激光雷达、摄像头的传感器信息以及智能网联车的感知数据,以车辆位姿为节点,建立多种边约束关系。为了提高感知精度,本文提出了一种融合车道级地图信息的大规模图模型方法,通过将停放车辆作为半静态信息约束,并结合车道级地图信息构建横向约束,在求解过程中引入滑动窗口以减小图模型的规模,最终以地图形式输出感知结果供车端使用。通过仿真实验和在占地面积为2 500 m^(2)以上的地下停车场场景中进行实地实验,结果表明,该方法显著提升了在复杂停车场环境下的感知能力,实现了地下停车场的全域感知。
