在裂管理的趋势
Saher-Zahra S Khan1, Scott Martin2, Chang Yoon Doh3
1Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
The American surgeon
|September 2, 2023
概括
在现实世界中,裂治疗因患者人口统计学而异. 男性患者更有可能接受手术,而在手术和医疗疗法的使用中存在种族和种族差异.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 裂的现实世界治疗模式还没有很好地定义.
- 裂患者可能并不总是由结直肠外科医生进行治疗.
- 本研究探讨了裂的医疗和手术治疗趋势.
研究的目的:
- 描述裂的现实世界治疗趋势.
- 确定与手术与医疗管理相关的人口因素.
- 根据种族和种族来探索裂治疗中的差异.
主要方法:
- 利用TrinetX数据库识别裂患者的队列.
- 接受手术干预与医疗疗法 (通道阻塞剂,甘,麻醉剂) 的患者人口统计的比较.
- 在诊断后或术前/术后的特定时间段内分析治疗模式.
主要成果:
- 在121,213名患者中,4.0%接受了手术.
- 男性性别,白人种族和西班牙裔种族与更高的手术干预率有关.
- 在使用医学疗法 (CCB,NTG,麻醉药) 和手术程序 (神经切除术,化疗) 中,在种族和民族群体之间观察到显著的差异.
结论:
- 裂的男性患者更容易接受手术治疗,不包括化疗.
- 不同种族和民族之间手术率和医疗治疗处方 (尤其是麻醉药) 的差异需要进一步调查.
- 了解这些差异对于改善裂患者护理至关重要.
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