全关节整形术后与种族相关的并发症和成本:一项回顾性匹配队列研究
Vikram A Aggarwal1, Garrett Sohn1, Sharon Walton1
1Orthopedics, University of Texas Southwestern Medical Center, Dallas, USA.
Cureus
|July 20, 2023
概括
黑人患者在全关节整形术 (THA) 后面临更多的并发症和更高的成本. 虽然亚裔和西班牙裔患者的费用较高,但他们的并发症率与白人患者相似,这表明需要公平的医疗保健.
科学领域:
- 整形外科手术 整形外科手术
- 健康差距 研究 研究 研究 研究
- 卫生经济学 卫生经济学
背景情况:
- 少数族裔患者经常经历增加的并发症,修订和成本后的关节整形术 (THA).
- 现有的研究突出了THA结果中的潜在种族差异.
- 本研究研究了种族和THA并发症,修订和成本之间的相关性.
研究的目的:
- 调查手术并发症,修复率和THA后的总成本的种族差异.
- 为了比较白人,黑人,亚洲人和西班牙裔THA患者的结果.
- 分析这些差异在倾向匹配之前和之后.
主要方法:
- 利用来自商业保险数据库 (PearlDiver) 的2014-2016年的数据.
- 包括通过CPT-27130和ICD-9-P-8151代码识别的THA患者.
- 比较白人,黑人,亚洲人和西班牙裔患者的人口统计,并发症,住院时间,并发症和成本,使用不平等的变异t-test在关键变量匹配之前和之后进行匹配.
主要成果:
- 包括73,688名白人,4,822名黑人,268名亚裔和420名西班牙裔患者.
- 少数民族患者,特别是黑人患者,并发症率和费用更高.
- 在匹配后,黑人和西班牙裔患者仍然显示出更高的并发症指数和停留时间,黑人患者的修订率下降,但黑人,西班牙裔和亚洲患者的成本更高.
结论:
- 黑人患者在THA后面临着显著更高的并发症率和总成本.
- 亚洲人和西班牙裔患者在并发症方面没有显著差异,但成本更高.
- 这些发现支持减少THA后黑人患者的健康差异,但由于样本规模较小,需要对亚裔和西班牙裔患者的结果进行进一步的研究.
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