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在接受常见手术的患者中,外科医生性别和长期术后结果
Christopher J D Wallis1,2,3, Angela Jerath4, Khatereh Aminoltejari1
1Division of Urology, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
JAMA surgery
|August 30, 2023
概括
与接受男性外科医生治疗的患者相比,接受女性外科医生治疗的患者在90天和1年内经历的不良术后结果,包括死亡,较少. 这些发现凸显了手术护理和结果的性别差异.
科学领域:
- 手术成果研究的研究结果.
- 医疗服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 外科医生的性别和沟通方式可能会影响患者的术后结果.
- 之前的研究表明,女性外科医生治疗的患者30天后的治疗结果有所改善.
- 与外科医生性相关的长期结果尚未得到广泛研究.
研究的目的:
- 为了研究外科医生的性别与手术后90天和1年的患者结果之间的关联.
- 为了比较女性和男性外科医生手术的患者之间的不良术后事件,包括死亡,再入院和并发症.
主要方法:
- 基于人口的回顾性队列研究在加拿大安大略省 (2007-2019).
- 包括接受25项常见手术中的1项的成年人.
- 使用概括估计方程比较结果,对多个共变量进行调整.
主要成果:
- 分析了超过110万名患者;151,054人接受了女性外科医生的治疗.
- 由女性外科医生治疗的患者在90天 (12.5% vs 13.9%) 和1年 (20.7% vs 25.0%) 后复合不良事件的调整后几率较低.
- 在接受女性外科医生治疗的患者中,90天 (0.5%对0.8%) 和1年 (1.6%对2.4%) 的死亡率也较低.
结论:
- 接受女性外科医生治疗的患者在手术后1年内表现出较低的不良术后结果,包括死亡率.
- 这些发现强调了手术护理中的基于性别的差异,这需要进一步调查潜在原因.
- 了解这些差异可以为改善所有患者的患者安全和外科护理的策略提供信息.
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