用于胰腺伪囊的治疗,内镜排水利用的趋势越来越大:来自全国数据库的见解
Khaled Elfert1, Salomon Chamay1, Lamin Dos Santos1
1Department of Internal Medicine, SBH Health System, New York, NY, USA.
Clinical endoscopy
|August 3, 2023
概括
在美国,内镜排水越来越多地用于胰腺伪囊 (PP),从而降低了住院费用. 这一趋势显示出其他排水方法的转变.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 卫生经济学 卫生经济学
背景情况:
- 胰腺伪囊 (PP) 是急性胰腺炎的常见并发症.
- 对于有症状或复杂的PPS,需要进行排水.
- 目前的排水选择包括穿皮,内镜,腹腔镜和开放的方法.
研究的目的:
- 分析不同胰腺伪囊排水方式的使用趋势.
- 评估2016年至2020年死亡率,住院时间和成本的相关变化.
- 为了识别胰腺伪囊的治疗偏好的变化.
主要方法:
- 使用国家住院样本数据库进行数据提取.
- 雇佣了国际疾病分类 - - 变量生成的10个代码.
- 进行了胰腺伪囊排水程序的回顾性分析.
主要成果:
- 从2018年到2020年,内镜排水显示出显著的增长趋势 (p=0.003).
- 内镜手术的增加与其他排水方式的下降有关.
- 胰腺伪囊排水的住院费用从2016年到2020年显著下降 (p<0.001).
结论:
- 内镜排水正在成为美国医院治疗胰腺伪囊的主要方法.
- 转向内镜排水与减少医疗保健支出有关.
- 这一趋势突出显示,胰腺伪囊的治疗方法越来越少入侵,而且成本效益更高.
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