在城市安全网络医院的有限英语水平和格雷夫斯病
Chandler A Annesi1, Alison Pease Woods2, Na Eun Kim3
1Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts.
The Journal of surgical research
|January 14, 2024
概括
患有英语水平有限的患者接受了Graves的甲状腺切除术.
科学领域:
- 内分泌学 在内分泌学.
- 外科手术的结果
- 健康 公平 卫生 公平
背景情况:
- 有效的沟通对于格雷夫斯病治疗决策至关重要.
- 对有限英语水平 (LEP) 患者甲状腺切除术结果的差异进行调查是必不可少的.
- 这项研究考察了大批量安全网医院的结果.
研究的目的:
- 为了比较甲状腺切除术结果和英语熟练 (EP) 和LEP患者之间的术后管理.
- 确定对患有格雷夫斯病的LEP个体的护理方面的潜在差异.
主要方法:
- 对236名因格雷夫斯病而接受甲状腺切除术的患者 (2012-2021) 的回顾性图表审查.
- 在EP和LEP组之间比较人口统计数据,术前因素和术后结果.
- 统计分析包括单变量比较,并发症的多变量逻辑回归和时间指标的Cox比例回归.
主要成果:
- 在研究队列中,LEP患者占36% (85/236).
- 甲状腺切除术特异性并发症率较低,在不同语言群体中相似 (<1%的永久性并发症).
- 在LEP患者中,并发症的几率相似 (OR=1.2),但从内分泌咨询到手术的时间显著缩短 (HR=0.7).
结论:
- 在英语语言能力和甲状腺切除术特异性并发症之间没有发现独立的关联.
- 有限的英语水平独立地与手术时间缩短有关,这一发现需要细致的解释.
- 这可能反映了系统效率对资源不足的患者或潜在的沟通障碍影响共享决策.
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