与接受角结核交叉链接相关的因素
Hyeck-Soo Son1,2, Liam Nugent3, Jiangxia Wang4
1Wilmer Eye Institute, Johns Hopkins Medical Institutions, Baltimore, MD.
Cornea
|July 28, 2023
概括
黑人患有角 (KCN) 的患者不太可能接受交叉连接 (CXL) 治疗,通常是由于病情在呈现时更为晚期. 这凸显了早期查的必要性,以改善KCN管理中的健康公平.
科学领域:
- 眼科医生 眼科 眼科
- 角膜疾病 角膜疾病
- 眼科手术 眼科手术
背景情况:
- 角膜 (KCN) 是一种渐进的角膜脱光,导致视力丧失.
- 标准流动性表皮关闭交联 (CXL) 是阻止KCN进展的关键治疗方法.
- 在KCN管理和治疗获取方面的差异需要调查.
研究的目的:
- 为了确定与接受标准流动性上皮质脱离交叉连接 (CXL) 相关的人口统计学和临床因素,用于角质 (KCN).
主要方法:
- 对未经治疗的KCN患者进行了回顾性,横截面研究.
- 2017年1月至2020年9月分析的电子健康记录和Pentacam断层扫描数据.
- 用于识别与CXL接收相关的因素的多变量通用估计方程.
主要成果:
- 在583名KCN患者中,16.6%接受了CXL.
- 年轻的患者更有可能接受CXL (平均年龄为24.0岁而不是33.4岁).
- 与白人患者相比,黑人患者接受CXL的几率明显较低 (OR:0.37),病情更为晚期.
结论:
- 患有KCN的黑人患者接受CXL的可能性较低,可能是由于晚些时候出现更严重的疾病.
- 建议进行积极的人口查,以更早地识别KCN患者,以便及时治疗.
- 在KCN管理中改善健康公平的策略对于防止不可逆转的视力丧失至关重要.
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