剥夺对食道胃肠腺镜检查结果的预后影响
Catherine Eley1,2, Neil D Hawkes3, Emma Barlow4
1School of Surgery, NHS Wales Health Education and Improvement Wales, Nantgarw, CF15 7QQ, United Kingdom of Great Britain and Northern Ireland.
Endoscopy international open
|July 5, 2024
概括
社会经济贫困与更高的胃潰瘍,严重食道炎和Helicobacter pylori感染率有关. 它还与更先进的癌症阶段有关,突出了胃肠道诊断中的健康差异.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社会经济贫困是各种胃肠道疾病的已知危险因素.
- 剥夺对食道胃二透镜 (EGD) 诊断结果的影响尚未先前评估.
- 了解这些差异对于公平的医疗保健服务至关重要.
研究的目的:
- 调查社会经济贫困对EGD诊断结果的影响.
- 分析不同程度的贫困的诊断结果,无论转诊原因如何.
主要方法:
- 从威尔士四个卫生局连续2000例EGD病例的回顾性分析 (2019年6月开始).
- 贫困得分是使用威尔士多重贫困指数 (WIMD) 计算的.
- 患者被分为五分之一 (Q1最贫困到Q5最贫困) 进行比较分析.
主要成果:
- 来自最贫困地区 (Q1) 的患者表现出更高的胃病发病率 (7.9%vs4.7%),严重食道炎 (LA4,2.7%vs0%) 和Helicobacter pylori感染 (5.4%vs1.7%).
- 相反,巴雷特食道在最贫困的五分之一中被诊断的频率较低 (6.3%对12.3%).
- 剥夺与癌症在诊断时更先进的阶段 (III和IV阶段) 有关.
结论:
- 社会经济贫困显著影响EGD诊断结果,与胃潰瘍疾病,H. pylori感染和严重食道炎的患病率增加相关.
- 来自贫困地区的个人被诊断出患有更晚期的胃肠道癌症.
- 这些发现强调了针对性干预的必要性,以解决胃肠道护理中的健康不平等问题.
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