治疗原发性副甲状腺症的差异:一个范围审查和概念模型
Alexander S Chiu1, Markayle Schears2, Mary Hitchcock3
1Section of Endocrine Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
American journal of surgery
|April 23, 2024
概括
初级甲状腺功能障碍不成比例地影响少数群体和服务不足的人群,导致手术治疗延迟或被拒绝. 需要进一步的研究来解决这些关键的护理差异.
科学领域:
- 内分泌学 在内分泌学.
- 外科手术的结果
- 健康差距 研究 研究 研究 研究
背景情况:
- 初级甲状腺功能障碍症经常被诊断不足.
- 原发性甲状腺功能障碍症的手术干预未得到充分利用,并且分布不公平.
- 关于治疗差异的现有文献需要全面审查.
研究的目的:
- 审查当前关于甲状腺功能障碍症治疗差异的文献.
- 识别手术护理不平等的知识差距.
- 为未来的研究和干预提出一个框架.
主要方法:
- 在PubMed和Scopus数据库中的系统文献搜索.
- 纳入标准用于确定有关甲状腺功能障碍症差异的相关研究.
- 在最初确定的1541件中,分析了16件被选中的物品.
主要成果:
- 种族差异是最常被研究的,黑人,西班牙裔和亚洲患者经历的手术较少,治疗延迟,并减少了对大量外科医生的接触.
- 缺乏保险的患者,老年人以及英语水平有限的患者也面临着严重的护理不平等.
- 鉴定出的差异突出了在获得及时和公平的外科护理方面存在的系统性问题.
结论:
- 在初级甲状腺功能障碍症的手术治疗中存在显著的不平等.
- 目前的研究主要是在差异的"识别"阶段.
- 提出了一个社会生态框架,以推动研究"理解"和"干预"手术差异.
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