在欧洲,初级甲状腺功能障碍症的运作管理
Erik Norén1,2, Erik Nordenström1,3, Anders O J Bergenfelz1,3
1Department of Clinical Sciences, Lund University, Lund, Sweden.
BJS open
|May 15, 2024
概括
对于初级甲状腺功能障碍症管理的手术在欧洲各国有很大的差异. 这项研究突出了手术策略和术后高血病率的差异,强调了对医疗保健实践影响的进一步研究的需要.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 公共卫生 公共卫生
背景情况:
- 之前的多中心研究报告了原发性副甲状腺功能障碍手术的国家结果.
- 然而,不同国家之间管理和结果的差异仍然没有被调查.
研究的目的:
- 调查欧洲各国对初级甲状腺功能障碍症的手术管理和手术结果的差异.
主要方法:
- 一项回顾性,观察性,横截面研究,使用来自Eurocrine®注册表的数据.
- 包括14个欧洲国家的99个中心,分析了9548名因偶发性原发性甲状腺功能障碍而接受初次手术的患者 (2015-2020年).
- 主要结局:计划进行有限的甲状腺切除术,并在第一次随访时出现高血的比率.
主要成果:
- 各国对进行有限甲状腺切除术的意图差异很大 (49.5%至97.6%).
- 在第一次随访 (中位数为15天) 时,手术后高血症在不同国家/地区的比例从0%到7.9%不等.
- 该研究包括9548名患者,其中80%为女性.
结论:
- 在欧洲国家之间,对于初级甲状腺功能障碍症的有限甲状腺切除术的意图存在显著差异.
- 各国之间也观察到手术后高血病率的变化.
- 需要进一步的研究,以了解这些不同的医疗保健实践如何影响患者的结果.
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