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国家实践模式中的种族和民族差异 压力尿失禁手术的实践模式
Samantha L Margulies1, Nozomi Sakai2, Elizabeth J Geller3
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 3032 Old Clinic Building, CB#7570, Chapel Hill, NC, 27599, USA. smargulies.md@gmail.com.
International urogynecology journal
|July 1, 2023
概括
在施压性尿失禁 (SUI) 的手术治疗中存在种族和民族差异. 与白人患者相比,黑人和西班牙裔患者更有可能接受非吊带手术,并经历更长的住院和输血.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
背景情况:
- 在治疗压力尿失禁 (SUI) 的手术治疗中了解种族/民族差异存在重大差距.
- 之前的研究还没有充分评估跨种族和种族群体SUI手术程序和结果的差异.
研究的目的:
- 调查SUI手术治疗中的种族/民族差异.
- 检查接受SUI手术的种族/族群之间手术并发症和时间趋势的差异.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划数据库,从2010年至2019年接受SUI手术的53,333名患者的回顾性队列分析.
- 统计分析包括千平方/费舍尔精确测试,ANOVA,布雷斯洛日得分和后勤回归模型.
- 白人种族/种族和手套手术作为比较的参考类别.
主要成果:
- 与白人患者相比,西班牙裔患者更有可能接受腹腔镜手术和前膀-尿路缩;与白人患者相比,黑人患者接受了更多的前膀-尿路缩,腹腔-阴道膀部悬浮和充气尿道.
- 与黑人,土著和有色人种 (BIPOC) 患者相比,白人患者的住院和输血率明显较低.
- 随着时间的推移,西班牙裔和黑人患者患前膀-尿路缩症的可能性增加,这两组患者接受非吊带手术的可能性更高.
结论:
- 该研究发现,在SUI的外科手术中存在显著的种族/民族差异.
- 研究结果表明,在应激性尿失禁的手术护理中存在潜在的不平等现象,这与之前的研究一致.
- 虽然并未确定因果关系,但观察到的差异需要进一步调查和有针对性的干预措施,以确保公平对待.
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