关于在肺功能测试中使用种族的观点:全国调查研究员和项目主任
Debasree Banerjee1, Sara Aijaz2, Nicholas J Nassikas3
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Brown University, Providence, Rhode Island. debasree_banerjee@brown.edu.
Respiratory care
|June 25, 2024
概括
肺功能测试 (PFTs) 历史上使用了种族特定的方程. 最近的一项调查发现,肺病学家之间对于在螺旋测量中使用种族没有达成共识,这影响了新的指导方针的采用.
科学领域:
- 肺部医学 肺部医学
- 医学伦理 医学伦理
- 健康 公平 卫生 公平
背景情况:
- 肺功能测试 (PFTs) 传统上依赖于特定种族的预测方程.
- 最近美国胸腔协会的指导方针主张种族中立的螺旋测量预测方程.
- 有限的研究存在于肺病学家在螺旋测量中关于种族的观点.
研究的目的:
- 调查学术肺部和重症监护提供者对使用种族在螺旋测量预测方程中的信念.
- 了解提供者对肺功能测试中种族影响的观点.
- 评估采用新的种族中立准则的潜在障碍.
主要方法:
- 在全国范围内对学术肺部和重症监护提供者进行了一项调查.
- 151个开放式的回复被收集并使用主题内容分析进行分析.
- 使用诱导和演编码方法来分类响应.
主要成果:
- 提供者关于将种族纳入螺旋测量预测方程的意见是平衡的,有支持,反对和不确定性.
- 受访者对种族的定义及其生理相关性的理解有所不同.
- 在参与者中观察到缺乏共识.
结论:
- 肺部提供者之间没有关于在螺旋计中使用种族的共识.
- 关于种族的生物学影响的持久信念可能会阻碍采用新的种族中立准则.
- 提供者意见对于成功实施更新的PFT指南至关重要.
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