"消极尾炎"的可变定义仍然是一个手术挑战
Hetal Patel1, Mohamed Kamel1, Eden Cooper2
1Department of Paediatric Surgery and Urology, Birmingham Women's and Children's Hospital NHS Foundation Trust, Birmingham, UK.
概括
这项研究发现,儿科患者的尾切除率为10.1%,低于英国的平均水平. 标准化消极尾切除术的定义对于准确的质量指标和研究至关重要.
科学领域:
- 儿科手术 儿科手术
- 改善外科手术的质量
- 病理学 病理学 病理学
背景情况:
- 急性尾炎 (AA) 诊断依赖于手术,阴性尾切除 (NA) 率在全球 (3.2-19%) 和英国 (15.9-20.6%) 之间有所不同.
- 尾炎率是医疗保健系统和尾炎评分中的关键绩效指标.
- 这项研究评估了NA的患病率及其作为英国高等教育中心质量指标的有用性.
研究的目的:
- 为了确定机构负尾切除率.
- 批判性地分析使用NA率作为质量指标的使用.
- 评估NA定义对临床实践和研究的影响.
主要方法:
- 对儿科尾炎患者 (2015-2021) 的前性数据集的分析.
- 根据年龄和性别对NA病例的分层.
- 非组织学上正常的尾标本的分类.
主要成果:
- 819名患者符合纳入标准;736人 (89.9%) 确诊有尾炎.
- 整体机构NA率为10.1% (83名患者).
- 史学上正常的尾占NA病例的7.9%;其他原因包括Enterobius vermicularis,eosinophilic尾炎,瘤和便炎.
结论:
- 10.1%的机构NA率低于英国确定的儿科率.
- 根据定义,NA的比率从7.9%到10.1%不等,这凸显了对标准化病理学定义的需要.
- 对NA定义变化的认识对于准确的质量指标和公正的临床研究至关重要.
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