在社区环境中对甲状腺症患者的甲状腺功能障碍症的低诊断
Cameron D Moore1, Bassil Azam2, Helena Do1
1General Surgery, University of Kentucky Bowling Green Campus, The Medical Center, Bowling Green, USA.
Cureus
|December 25, 2023
概括
在我们的社区中,原发性副甲状腺症 (PHPT) 的诊断不足,查和手术转诊率低. 这导致PHPT的延迟管理,影响患者的健康结果.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 手术推模式 手术推模式
背景情况:
- 未经治疗的原发性偏甲状腺症 (PHPT) 会导致多系统性影响.
- 美国的研究显示,PHPT查率低于25%.
- 社区医疗保健系统可能存在类似的诊断缺陷.
研究的目的:
- 在社区医疗保健系统中量化PHPT诊断不足.
- 评估PHPT手术转诊不足的发生率.
- 识别PHPT查和管理中的缺陷.
主要方法:
- 对2021年年龄≥18岁,有图像证实结石病的患者进行了回顾性定量研究.
- 包括标准:记录的水平和脏/尿道结石.
- 进行了描述性和单变量分析.
主要成果:
- 26.6%的结石病患者的水平升高.
- 只有13.6%的高血症患者接受了PHPT的查.
- 63%的查患者有PHPT,但只有19.6%被转诊进行手术.
结论:
- 在这个社区,PHPT的诊断严重不足.
- 低的外科转诊率表明PHPT管理延迟.
- 需要医院协议来改善PHPT诊断和干预.
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