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邻居剥夺与植入基乳房重建后手术后并发症增加有关

Carol Wang¹, Jamie Frost¹, Megan Tang¹

¹Department of Surgery, Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.

Clinical breast cancer

|July 17, 2024

概括

通过区域贫困指数 (ADI) 衡量的邻里贫困与乳房重建并发症的增加有关. 高ADI区域显示出更高的血液瘤和重复手术率,独立于患者因素.

科学领域:

整形外科整形外科整形外科
公共卫生公共卫生
健康差异在健康上的差异

背景情况:

区域贫困指数 (ADI) 使用美国人口普查数据量化社区社会经济贫困.
了解社会经济因素对手术结果的影响对于公平的医疗保健至关重要.

研究的目的:

调查邻里贫困之间的联系,根据ADI得分,以及乳房重建后的并发症率.
确定ADI是否是乳房重建患者不良结果的独立预测因素.

主要方法:

分析了一组471名患者,在2019-2023年期间接受了基于植入物的乳房重建.
根据国家特定的ADI分数,患者被分为高ADI (6-10) 和低ADI (1-5) 组.
复杂性率 (总体,血瘤,重复手术) 通过基平方和t测试,以及用于预测分析的逻辑回归,在使用基平方和t测试的组之间进行比较.

主要成果:

与低ADI组 (84%) 相比,高ADI组 (16%的患者) 的整体并发症率显著更高 (34%对21%).
特定并发症,包括血液瘤 (12%对3%) 和意想不到的重新手术 (18%对7%),在高ADI组中更为频繁.
高的ADI得分独立预测了血液瘤,重复手术和任何并发症的风险增加,即使在调整种族之后.

结论:

居住在贫困地区 (高ADI) 的患者在乳房重建后面临更大的术后并发症风险.
ADI作为一种有价值的工具,用于识别高风险患者,独立于个人并发症和种族.
这些发现强调了在患者咨询和乳房重建风险评估中考虑社区层面的社会经济因素的重要性.

关键词:

面积剥夺指数面积剥夺指数乳房重建乳房重建在健康方面存在差异.血液瘤是一种血液瘤.社会经济因素社会经济因素

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