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美国外科医生协会在当前美国实践中自我报告的性别和外科结果
Salvatore T Scali1, Jesse A Columbo2, Mary T Hawn3
1Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville.
Annals of surgery
|July 12, 2024
概括
外科医生的性别显示出与患者的结果有很小的统计联系,但这种关联在临床上没有意义. 仅仅由外科医生的性别对患者的结果没有显著的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 医学中的性别.
背景情况:
- 以前的研究表明,女性外科医生可能有更好的患者结果.
- 这种潜在关联的原因尚不清楚.
- 这项研究调查了外科医生性别对美国手术结果的影响.
研究的目的:
- 评估外科医生自我报告的性别和临床结果之间的关联.
- 为了确定外科医生的性别是否影响医院死亡,并发症或30天再入院.
主要方法:
- 从Vizient临床数据库 (2016-2021) 中分析了4,882,784例患者手术.
- 外科医生自我报告的性别是主要的暴露.
- 多变量后勤回归和倾向得分匹配用于风险调整.
主要成果:
- 与男性外科医生相比,女性外科医生年轻,手术量较小.
- 经过风险调整后,在女性外科医生与较低的死亡率/并发症率之间发现了一个小的统计学关联.
- 对于再接收来说,没有观察到任何显著的关联;具体程序分析显示了不一致的结果.
结论:
- 外科医生的性别表明,与术后结果的相关性在统计上很小,在临床上是边缘的.
- 这些发现表明,外科医生的性别不太可能是观察到的结果差异的因果因素.
- 只有外科医生的性别不会对患者的治疗结果产生临床影响.
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