心脏手术中的种族和种族:错过的机会?
Lina A Elfaki1, Akachukwu Nwakoby1, Melanie Keshishi1
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
The Annals of thoracic surgery
|November 1, 2023
概括
由于代表性不足和数据不一致,心脏手术研究中的种族和民族差异很大. 提高招聘和数据透明度对于公平的患者护理至关重要.
科学领域:
- 心血管外科心血管外科
- 健康差距 研究 研究 研究 研究
- 临床试验方法论 临床试验方法论
背景情况:
- 越来越多的证据将患者的种族和种族与心脏手术获得和结果的差异联系在一起.
- 在得出基于证据的结论方面面临的挑战源于研究群体的代表性不足和研究方法不一致.
- 本综述强调了有关心脏外科手术中种族和种族的研究参与,方法和分析方面的担忧.
研究的目的:
- 确定在心脏手术研究中考虑种族和种族的改善的关键领域.
- 提出可行的步骤,以提高研究这些差异的包容性和严格性.
- 强调需要更好地了解种族和种族如何影响心脏手术护理.
主要方法:
- 进行了叙事文学评论.
- 搜索使用了PubMed/MEDLINE和谷歌学者数据库.
- 关键词包括"心脏手术"",种族"",种族"和"差异".
主要成果:
- 不到一半的心脏手术随机对照试验报告了参与者的种族/种族.
- 种族和民族少数群体占大多数研究人口的不到20%,这表明代表性不足.
- 种族/种族分类不一致,与社会经济地位等因素的交叉性在分析中是有限的.
结论:
- 种族和民族差异在心脏手术研究,患者参与和结果方面越来越明显.
- 需要有形的努力来招募代表性不足的少数群体患者参加研究研究.
- 数据分组的透明度和交叉社会身份的分析对于促进公平的外科护理至关重要.
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