患有缺失初始1年随访的最大风险的患者在下垂体腺瘤切除后进行1年随访
Faraz Behzadi1, Andrew C Pickles2, Shiau-Sing Ciecierska1
1Department of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois, USA.
World neurosurgery
|July 20, 2024
概括
男人,老年患者和视力障碍患者更有可能错过垂体腺瘤后续预约. 针对这些群体的有针对性的教育可以提高坚持并降低切除后未被发现的瘤复发的风险.
科学领域:
- 神经外科 神经外科
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 下垂体腺瘤 (PA) 切除后,术后监测成像至关重要,以检测复发.
- 患者遵守1年的随访预约对于及时检测瘤复发至关重要.
研究的目的:
- 为了确定与PA内镜内腔透膜切除 (EETS) 后1年后的错过的随访预约相关的社会人口结构和临床因素.
- 为制定有针对性的教育策略提供信息,以改善患者遵守术后护理计划.
主要方法:
- 在2007年至2023年期间,对256名接受EETS治疗的患者进行了回顾性审查.
- 对社会人口统计学因素,出现症状,手术结果和遵守1年术后随访的分析.
主要成果:
- 15%的患者错过了1年的随访预约.
- 错过预约的危险因素包括男性性别 (P=0.006),离婚/丧偶/离婚婚姻状况 (P=0.008),年龄较大 (平均60.1岁对54.7岁,P=0.028),以及初始视野缺陷 (P=0.03).
结论:
- 男性的性别,未婚的婚姻状况,晚年和先前存在的视力缺陷是错过1年的随访PA切除后遗漏的显著预测因素.
- 教育干预措施应针对这些高风险群体进行定制,以提高患者的遵从性,并减轻与未检测到的瘤复发相关的风险.
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