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在Sacrocolpopexy方法中的种族和民族差异

Lauren Nicola-Ducey¹, Olivia Nolan¹, Sara Cichowski¹

¹From the Department of Obstetrics and Gynecology, Oregon Health Science University.

Urogynecology (Philadelphia, Pa.)

|July 11, 2024

概括

与白人患者相比,黑人和西班牙裔患者更有可能接受腹部开放式阴道切除术. 这突显了骨盆器官脱落手术中的种族差异.

科学领域:

泌尿和妇科泌尿和妇科
外科手术的结果
健康差异在健康上的差异

背景情况:

种族不平等与健康差异有关,黑人女性的子宫切除方法已知有差异.
在骨盆器官脱落手术管理中的类似差异没有得到充分的记录.

研究的目的:

调查骨盆器官脱落手术治疗中的种族和民族差异.
为了比较不同种族和种族群体的开放腹部与最小侵入性阴道术的比率.

主要方法:

利用了2019年医疗保健成本和利用项目的横截面数据,全国住院患者样本和全国门诊外科样本.
进行双变量和多变量逻辑回归分析,以比较外科手术方法.

主要成果:

黑人和西班牙裔患者比非西班牙裔白人患者更容易接受腹部开放式阴道.
在回归模型中调整其他患者和医院因素后,这些差异仍然存在.
社会经济地位和医院特点等因素也影响了外科手术方法.

结论:

在骨盆器官脱落的手术治疗中存在种族和民族差异.
黑人和西班牙裔个人面临更高的可能性,经历开放的腹部神经结合术.
需要进一步的研究,以了解和解决这些不平等的泌尿外科手术.

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