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西班牙裔种族是否在美国的直体手术的结果中发挥作用?
Jesse K Kelley1,2, Kathrine Kelly3,2, Charles Reed4
1Graduate Medical Education, Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA kelle247@msu.edu.
BMJ open gastroenterology
|December 5, 2023
概括
西班牙裔种族并没有预测分炎手术的结果会更差. 这项研究发现,在因分泌炎而接受小肠切除术的西班牙裔患者中,并没有增加并发症或死亡风险.
科学领域:
- 手术成果研究的研究结果.
- 美国的健康差异.
- 胃肠道手术 胃肠道手术
背景情况:
- 椎炎手术在美国很常见.
- 了解手术结果的种族差异对于公平护理至关重要.
研究的目的:
- 为了确定种族是否会影响美国椎炎的外科手术结果.
- 为了比较经手术后的并发症和西班牙裔和非西班牙裔患者的死亡率,他们接受了因分泌体炎的切除术.
主要方法:
- 美国外科医生学院国家外科质量改善计划数据库 (2008-2017) 的分析.
- 包括375,311例因分泌体炎而进行的小肠切除术.
- 通过使用多变量逻辑回归来比较患者人口统计,并发症,手术细节和根据种族状况的结果.
主要成果:
- 在2008年至2017年期间,接受椎炎手术的西班牙裔患者的百分比从3.7%增加到6.6%.
- 西班牙裔患者平均年龄较小 (57岁对62岁),并且在腹腔镜和选择性病例比例上存在差异.
- 多变量模型显示,西班牙裔种族不是增加发病率 (p=0.13) 或死亡率 (p=0.80) 的重要预测因素.
结论:
- 尽管人口结构发生了变化,但西班牙裔种族与急诊手术,开放手术或术后并发症的增加率无关.
- 这些发现表明,仅仅是种族本身并不是分泌炎手术不良结果的重要风险因素.
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