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在儿童甲状腺疾病的手术管理中的实践模式跨手术专业
Lindsay A Gil1, Jennifer N Cooper2, Kelli N Patterson1
1Center for Surgical Outcomes Research, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; Department of Pediatric Surgery, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.
Journal of pediatric surgery
|July 21, 2023
概括
儿科外科医生最常管理儿科甲状腺疾病,不同专业的患者人口统计和手术类型有所不同. 儿童甲状腺手术的整体并发症率仍然很低.
科学领域:
- 儿科手术 儿科手术
- 内分泌手术 内分泌手术
- 外科手术实践模式的模式
背景情况:
- 儿科甲状腺疾病的手术治疗涉及多个专业.
- 这些专业领域目前的实践模式并未得到很好的定义.
研究的目的:
- 检查和比较小儿甲状腺疾病手术管理中的实践模式.
- 分析手术专业化,患者人口统计和结果的变化.
主要方法:
- 来自州住院和门诊数据库的1241例儿科甲状腺切除术 (2015-2019) 的回顾性分析.
- 患者特征,医院数据和跨手术专业的临床结果的比较.
- 确定外科医生的专业化,包括儿科手术,儿科耳鼻喉科,整体手术,成人耳鼻喉科和内分泌专注的整体手术.
主要成果:
- 儿科外科医生进行了大多数手术 (34.9%).
- 侧重于内分泌的外科医生每年出现的病例数量最高 (78.2例/年),而儿科子专家的病例数量最低.
- 在不同专业的患者年龄,社会人口统计和手术指示方面观察到显著差异 (p < 0.05).
结论:
- 儿科手术是儿童甲状腺疾病手术管理的主要专业.
- 儿科专家不成比例地治疗低收入,少数民族儿童和格雷夫斯病患者.
- 临床结果,包括低热血症和神经损伤,在所有组中一般都很低.
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