检查儿科埃索诺菲尔性食道炎的差异
Pooja Mehta1, Zhaoxing Pan2, Wenru Zhou2
1Gastrointestinal Eosinophilic Diseases Program, Digestive Health Institute, Children's Hospital Colorado, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colo.
种族和社会经济因素影响儿科埃索诺菲尔性食道炎 (EoE) 护理. 来自弱势地区的儿童接受的评估和早期干预较少,而黑人儿童的诊断年龄较小.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 健康差距 研究 研究 研究 研究
- 埃索诺菲尔性食道炎 (EOE) 流行病学
背景情况:
- 对于种族,种族和社会经济地位如何影响儿科酸性食道炎 (EOE) 的健康结果的理解有限.
- 需要调查儿童EOE的诊断和管理中的人口差异.
研究的目的:
- 在主要的三级保健中心确定被诊断患有EoE的儿童的人口特征.
- 确定患者人口统计和诊断评估或治疗决策程度之间的关联.
主要方法:
- 从2009年到2020年,对2117名儿童 (0-18岁) 进行了回顾性队列研究,他们患有EoE.
- 利用电子医疗记录来获取人口统计数据,区域贫困指数 (ADI) 来获取社会经济地位,以及农村-城市通勤区代码来获取城市化数据.
- 使用描述性统计和回归分析来评估关联.
主要成果:
- 具有较高ADI分数 (较大的邻居劣势) 的儿童接受了较少的放射评估,并在较年轻时接受食道扩张.
- 与白人儿童相比,黑人儿童的诊断年龄较小.
- 来自农村地区的儿童获得养治疗的机会较少,并且在最初的访问时更年轻.
结论:
- 根据种族,城市化和社会经济地位,观察到儿科异性食道炎 (EOE) 的表现和护理的显著差异.
- 调查结果强调需要公平的护理模式,以解决儿科EdE管理中的差异.
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