头骨突症的社会人口差异:一个系统的审查
Jessica D Blum1, Jinggang J Ng2, Jasmine Craig1
1Division of Plastic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
概括
少数群体患有骨突症的患者面临延迟治疗和更糟糕的结果. 加快,公平的护理和标准化的数据收集对于解决儿科护理中的这些差异至关重要.
科学领域:
- 儿科手术 儿科手术
- 健康差距 研究 研究 研究 研究
- 头骨面部异常 头骨面部异常
背景情况:
- 头骨突,头骨的过早融合,需要及时干预,以防止发育问题.
- 推迟诊断和治疗骨突症可能会给受影响的儿童带来重大长期后果.
- 社会人口统计学因素可能导致骨突关怀的时间和质量差异.
研究的目的:
- 审查现有的关于社会人口统计学风险因素的现有文献,这些风险因素与延迟关节缩症治疗有关.
- 为了确定在诊断和治疗骨突症的健康差异.
- 为改善公平获得及时关突干预措施的战略提供信息.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 搜索了PubMed/Medline和Embase数据库,寻找有关骨突症健康差异的研究.
- 从包含的研究中分析了人口统计学特征和治疗结果.
主要成果:
- 对涉及31,256名美国患者的18项研究的分析显示,在治疗时间方面存在种族和民族差异.
- 少数民族患者,特别是黑人和西班牙裔/拉丁裔患者,与白人患者相比,在手术时平均年龄明显晚.
- 少数民族身份和政府资助的保险与延迟干预,增加并发症,更长的住院时间和更高的成本有关.
结论:
- 来自少数族裔和少数民族的关突症患者在手术干预中遇到延迟和更高的并发症率.
- 公平和及时的转诊,查和治疗对于这个弱势群体至关重要.
- 需要对人口统计和结果进行标准化的纵向数据收集,以解决骨突症的差异.
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