亚裔美国人在食道切除术后的30天外科并发症较高:来自ACS-NSQIP数据库的倾向性得分匹配研究
Renxi Li1, Qianyun Luo2, Ilitch Diaz Gutierrez2
1The George Washington University School of Medicine and Health Sciences, United States; Division of Cardiovascular and Thoracic Surgery, Department of Surgery, University of Minnesota Medical School, United States.
American journal of surgery
|January 10, 2024
概括
与白人相比,亚裔美国人经历了较高的30天术后并发症,包括肺部和脏问题,在食管切除术后. 需要进一步的研究来理解和解决食道癌症手术结果中的这些差异.
科学领域:
- 手术结果研究研究.
- 健康差异 在健康上的差异
- 在瘤学瘤学.
背景情况:
- 亚裔美国人患食道癌的风险较高.
- 在接受食道切除手术的亚裔美国人中,结果的种族差异尚未得到充分研究.
- 这项研究调查了经食道切除术后亚裔美国人的30天术后结果.
研究的目的:
- 为了评估和比较经过食道切除术后亚裔美国人和高加索人之间30天的术后结果.
- 在食道切除术后的手术并发症中识别潜在的种族差异.
主要方法:
- 美国外科医生学院国家外科质量改善计划 (ACS-NSQIP) 食道切除数据库 (2016-2021) 的回顾性分析.
- 倾向性得分匹配 (1: 3比) 用于比较接受食道切除术的亚裔美国人和白人.
- 分析了30天的术后结果.
主要成果:
- 亚裔美国人患状细胞癌的可能性高于腺癌.
- 在匹配后,亚裔美国人出现的肺部并发症率明显高 (22.27%对比16.01%),特别是肺炎 (16.59%对比11.06%).
- 亚裔美国人也经历了增加的功能障碍 (2.62%对比0.44%),特别是进展性功能衰竭和出血事件 (18.34%对比9.02%),住院时间更长 (11.83天对比10.23天).
结论:
- 亚裔美国人经过食道切除术后面临的30天手术并发症的发生率更高.
- 肺部并发症,功能障碍和出血事件的显著差异被观察到.
- 进一步调查这些差异的根本原因和制定缓解策略至关重要.
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