在足骨折治疗中的性别差异
Noopur Ranganathan1, Aayush Mehta1, William Henry DiGiovanni1
1Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Foot (Edinburgh, Scotland)
|September 27, 2023
概括
与男性相比,移位脚骨折的女性接受手术的可能性较小. 这种基于性别的关骨折治疗差异需要进一步调查临床结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 生物统计学 生物统计学
背景情况:
- 脚骨折占所有成年人骨折的7.6%.
- 针对特定脚骨折的手术和非手术护理之间的治疗中隐含的偏差是有记录的.
- 在所有脚骨折管理中了解潜在的基于性别的偏见对于将治疗与患者的结果关联起来至关重要.
研究的目的:
- 为了确定是否存在基于性别的偏见在所有脚骨折的手术与非手术治疗中.
- 调查性别对移位和非移位脚骨折的治疗决策的影响.
主要方法:
- 对1175名患有脚骨折的成年患者进行了回顾性研究.
- 收集的数据包括性别,年龄,骨折类型,治疗,BMI和住院时间.
- 统计分析包括赔率比率,奇二次,t测试和皮尔森相关性 (p < 0.05显著).
主要成果:
- 研究人口中有63.8%是女性 (750) 和36.2%是男性 (425).
- 妇女接受手术治疗移位脚骨折的可能性明显低于男性 (OR = 0.7,p = 0.01).
- 女性接受非手术治疗的频率 (55.6%) 超过手术治疗 (44.4%),而男性的比例相似 (48%非手术,52%手术).
结论:
- 性别是一个重要的因素,与脚骨折的治疗类型相关.
- 移位脚骨折的女性更有可能接受非手术治疗.
- 需要进一步的研究来确定这种治疗性别差异是否会影响临床结果.
更多相关视频
04:42Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
80
09:01Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
11.8K
相关概念视频
01:27Fractures: Bone Repair
3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K
01:26Flail Chest-II
197
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
197