调查子宫内膜异位症患者处方药的种族差异
medRxiv : the preprint server for health sciences
|October 24, 2023
概括
与白人患者相比,患有子宫内膜异位症的黑人患者获得的疼痛控制和激素治疗处方较少. 在子宫内膜异位症药物处方中的这些种族差异凸显了对公平护理的需要.
科学领域:
- 生殖健康 生殖健康
- 健康差距 研究 研究 研究 研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 子宫内膜异位症是一种慢性疾病,诊断迟到,已知并发症.
- 子宫内膜异位症的治疗包括疼痛控制和基于激素的药物.
- 在子宫内膜异位症治疗中的种族差异仍然在很大程度上未被研究.
研究的目的:
- 调查黑人和白人患者之间对子宫内膜异位症药物处方的种族差异.
- 为了比较诊断前和后的处方模式.
- 将研究结果与更广泛的医疗保健种族差异联系起来.
主要方法:
- 使用IBM MarketScan®医疗补助数据进行回顾性队列研究.
- 确定的子宫内膜异位症队列 (n=16,372) 经过手术和诊断.
- 包括一个非子宫内膜异位症控制队列 (n=3,663,904) 进行比较.
主要成果:
- 在28种药物类别中,黑色和白色子宫内膜异位症患者之间的显著差异.
- 与白人患者相比,黑人患者接受的17种药物类别的处方较少.
- 在被诊断为子宫内膜异位症之前,处方的差异往往比诊断后更大.
结论:
- 在子宫内膜异位症药物处方模式中存在显著的种族差异.
- 在荷尔蒙治疗,疼痛管理和并发症药物方面注意到差异.
- 解决这些差异对于在慢性生殖条件下实现公平护理至关重要.
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