马里兰州健康的社会决定因素 关节镜患者 关节镜患者
Parimal Rana1, Jane C Brennan1, Andrea H Johnson2
1Orthopedic Research, Anne Arundel Medical Center, Annapolis, USA.
Cureus
|February 19, 2024
概括
关节镜术患者在患者报告的结果完成或基于种族或社会经济因素的功能改善方面没有差异. 这表明在这些骨科手术中提供了公平的护理.
科学领域:
- 整形外科手术 整形外科手术
- 健康差距 研究 研究 研究 研究
- 患者报告的结果
背景情况:
- 之前的研究表明,在各种骨科疾病中,患者报告的结果测量 (PROM) 完成率存在种族和社会经济差异.
- 这些差异也可能影响接受关节镜术 (HA) 的患者.
研究的目的:
- 在接受关节镜术的患者中,调查PROM完成率存在种族和社会经济差异.
- 评估这些差异是否延伸到关节镜术后的功能改善.
主要方法:
- 对306名关节透镜患者 (2021-2023) 进行了一项回顾性研究.
- 健康的社会决定因素 (SDOH) 在HA患者和马里兰州普通人口之间进行了比较.
- 根据完成基线和六个月的PROM (PROMIS-PF) 和达到最小临床重要差异 (MCID) 的情况,分析了患者.
主要成果:
- 与马里兰州的人口相比,关节镜术患者通常居住在社会脆弱性较低的地区.
- 只有33%的患者完成了基线和六个月的PROM;然而,在完成者和未完成者之间没有发现显著的人口或SDOH差异.
- 在完成PROM的人中,74%的人获得了MCID,在完成和未完成MCID的人之间没有显著的人口或SDOH差异.
结论:
- 对于关节镜术患者,在人口统计和SDOH之间,PROM完成和术后功能改善的差异没有被确定.
- 这些发现表明,正在接受关节透视手术的患者得到了公平的护理.
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