影响微创手术利用的因素在美国选择性切除术中用于分管疾病的微创手术
Arshad M Bachelani1, Laura A Holton2
1Independence Health, 532 W. Pittsburgh Street, Greensburg, PA 15601, USA.
Surgery open science
|April 8, 2024
概括
最少侵入性手术 (MIS) 提供了更好的结果,用于分管疾病. 然而,MIS的使用因地区和医院类型而异,即使考虑到保险,种族差异仍然存在. 需要进一步的研究.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 至少侵入性手术 (MIS) 与开放式手术相比,在分管疾病治疗中表现出更好的结果.
- 了解MIS利用的趋势对于优化选择性切除管疾病的患者护理至关重要.
研究的目的:
- 分析最近的微创手术 (MIS) 选择性切除术在分泌管疾病中的使用趋势.
- 确定与MIS采用相关的患者和医院因素.
主要方法:
- 基于人口的研究,使用来自国家住院患者样本 (NIS) 的数据.
- 分析了2016年至2019年期间进行的节性疾病的选择性切除术.
主要成果:
- 与其他地区和城市中心相比,中西部医院和农村设施的微创手术 (MIS) 使用率较低.
- 拥有私人保险的患者更有可能接受MIS. 在使用MIS方面观察到显著的种族差异,在调整保险状况后仍然存在.
- 医院床位大小和教学地位没有显著影响MIS利用率.
结论:
- 虽然医院的病床大小和教学状况等特征不再是微创手术 (MIS) 使用的重要预测因素,但在使用方面持续存在的种族差异需要进一步调查.
- 了解这些差异的根本原因对于公平获得改善关疾病治疗外科手术结果至关重要.
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