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代谢性减肥手术后利用和减肥的种族/种族差异
Guanming Chen1, William T Donahoo2, Michelle I Cardel3
1Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville, Florida.
概括
代谢和减肥手术 (MBS) 的利用率和减肥结果在人口群体之间是不平等的. 需要制定战略,以改善非西班牙裔黑人患者的MBS接入和有效性.
科学领域:
- 肥胖医学 肥胖医学
- 手术结果研究研究.
- 健康差异 在健康上的差异
背景情况:
- 代谢和减肥手术 (MBS) 是严重肥胖症的关键治疗方法.
- 了解MBS利用和结果的人口差异对于改善肥胖护理至关重要.
- 识别治疗中的差距可以为有针对性的干预提供信息.
研究的目的:
- 确定与使用代谢和腹手术 (MBS) 相关的因素.
- 在不同的人口群体中检查MBS后纵向减肥结果.
- 解决减肥手术获取和有效性的潜在不平等问题.
主要方法:
- 对OneFlorida临床研究联盟数据库 (2012-2018) 的回顾性分析.
- 用交叉效应进行后勤回归来评估MBS利用率.
- 混合效应模型用于评估MBS后18个月的纵向体重减轻.
主要成果:
- 只有1.9%的符合条件的患者接受了MBS;非西班牙裔黑人患者的利用率较低,特别是在与男性性别,年龄和保险状况互动时.
- 与白人和西班牙裔同行相比,非西班牙裔黑人患者的体重减轻显著减少.
- 更少的体重减轻也与袖子胃切除术,男性性别,较低的BMI和2型糖尿病有关.
结论:
- 调查结果突出了基于种族/种族和社会人口因素的MBS利用和减肥结果的差异.
- 需要新的战略来提高MBS的公平获取和有效性.
- 专注于种族/种族和社会决定因素的交叉方法对于改善肥胖治疗至关重要.
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