及时诊断埃索诺菲尔性胃肠道疾病的障碍
Mirna Chehade1, Emily C McGowan2, Benjamin L Wright3
1Mount Sinai Center for Eosinophilic Disorders, Departments of Pediatrics and Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
The journal of allergy and clinical immunology. In practice
|December 18, 2023
概括
在诊断eosinophilic胃肠道疾病 (EGID) 的障碍,包括eosinophilic食道炎,延迟治疗和恶化结果. 解决健康的社会决定因素是改善所有患者护理的关键.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 几十年来,人们已经认识到埃索诺菲尔性胃肠道疾病 (EGID),如埃索诺菲尔性食道炎.
- 诊断和治疗面临重大障碍,特别是在服务不足的人群中.
- 健康,种族和种族的社会决定因素加剧了这些挑战.
研究的目的:
- 总结 EGID 流行病学方面的知识差距.
- 突出阻碍及时诊断和治疗的障碍.
- 提出减少弱势群体诊断延迟的策略.
主要方法:
- 审查关于EGID流行病学和障碍的现有文献.
- 对影响胃肠道疾病的健康社会决定因素的分析.
- 讨论其他无性和慢性胃肠道疾病的最佳实践.
主要成果:
- 诊断的延迟导致持续的胃肠道炎症.
- 其后果包括纤维肌性并发症,无法壮成长,生活质量降低.
- 在获得护理方面的不平等不成比例地影响了某些种族和种族群体.
结论:
- 及时诊断EGID对于预防严重并发症至关重要.
- 解决与健康的社会决定因素相关的系统性障碍至关重要.
- 实施有针对性的战略可以改善EGID诊断和护理服务不足的人群.
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