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社会经济因素是否会影响阴茎道综合征出现时的症状持续时间和疾病严重程度?

Phillip Grisdela¹, Christina Liu¹, Zina Model¹

¹Harvard Combined Orthopaedic Residency Program, Boston, MA, USA.

Hand (New York, N.Y.)

|November 28, 2023

概括

种族和保险等社会经济因素会影响阴茎道综合征的出现和严重程度. 白人患者报告症状持续时间较短,而保险类型影响了手术等待时间. 高龄和男性性别与更严重的疾病相关.

科学领域:

整形外科手术整形外科手术
神经学神经学
医疗保健服务研究医疗服务研究

背景情况:

社会经济因素与延迟诊断上肢神经压缩有关.
阴茎道综合征 (CTS) 是一种常见的压缩性神经病变,影响肘部.
了解对CTS呈现的社会经济影响对于及时干预至关重要.

研究的目的:

研究社会经济因素对患有阴茎道综合征的患者的症状持续时间和疾病严重程度的影响.
分析困难社区指数 (DCI) 和CTS介绍之间的关系.
确定CTS中延迟呈现和疾病严重程度的人口和临床预测因素.

主要方法:

对207名接受CTS手术治疗的患者进行了回顾性队列研究.
收集的数据包括自我报告的症状持续时间,手术时间,McGowan等级和电诊断结果.
解释变量包括年龄,性别,种族,并发症 (糖尿病,抑郁症,焦虑症),保险公司和DCI.

主要成果:

非白人种族与更长的自我报告的症状持续时间有关.
保险公司影响了从演示到手术的时间.
年龄较大和男性性别与疾病严重程度增加有关 (更高的McGowan等级).
糖尿病和失业与较差的电子诊断结果有关.

结论:

通过DCI测量的经济困难与CTS的症状持续时间,手术时间或疾病严重程度没有相关性.
存在种族差异,白人患者报告症状持续时间较短.
保险类型对CTS患者及时获得手术护理的机会产生重大影响.
年龄和性别是CTS呈现时临床严重性的重要决定因素.

关键词:

在IV治疗治疗中使用.阴茎道综合征是什么证据的证据水平.健康的社会决定因素

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