在盆地底疾病的种族差异
Carlotta Sarzo1, Nur Nurmahomed, Charlotte Ralston
1Pelvic Floor, Guy's and St Thomas Foundation Trust, London, UK.
Annals of surgery
|January 31, 2024
概括
种族差异和社会经济地位显著影响结肠直肠盆底疾病 (PFD) 护理,导致诊断和治疗不平等. 解决这些不平等问题对于公平获得医疗保健至关重要.
科学领域:
- 结肠直肠外科手术是什么意思
- 骨盆底疾病 骨盆底疾病
- 在健康方面存在差异.
背景情况:
- 在结直肠盆底疾病 (PFD) 护理中的种族差异研究不足.
- 现有的研究主要集中在泌尿后学PFD上.
研究的目的:
- 调查种族差异对结肠直肠PFD护理的影响.
- 检查社会经济地位对结肠直肠PFD管理的影响.
主要方法:
- 对2001名结直肠PFD患者 (2013-2018) 的回顾性研究.
- 患者按多重剥夺指数 (IMD) 五分位数进行分类.
- 分析患者投诉,转诊,调查,多学科会议 (MDM) 讨论,治疗和后续行动.
主要成果:
- 在所有族群中,便秘是最常见的抱怨.
- 白人英国人和亚洲患者的咨询和外科推率更高.
- 最贫困的IMD五分之一中的患者接受的诊断测试,MDM讨论和手术治疗较少.
结论:
- 结肠直肠PFD诊断和治疗存在显著差异,基于种族和社会经济地位.
- 观察到在护理获取和提供方面存在不平等.
- 这些发现支持需要服务提供框架来缓解医疗保健不平等的需要.
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