评估儿科全甲状腺切除术的适用情况的国家趋势
Christopher Puchi1, Mehul V Raval2, Yao Tian3
1Northwestern University Feinberg School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, United States of America.
American journal of otolaryngology
|July 26, 2024
概括
格雷夫斯病 (GD) 是儿科全甲状腺切除术 (TT) 的原因越来越多. 对于GD进行TT的患者通常在人口统计学和社会经济因素上与其他适应症患者相比有所不同.
科学领域:
- 儿科手术 儿科手术
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 全甲状腺切除术 (TT) 通常在儿童中用于恶性瘤和格雷夫斯病 (GD).
- 作为儿科TT的指示,GD的特定发病率尚未得到充分确立.
- 了解儿科TT的趋势对于医疗保健规划至关重要.
研究的目的:
- 检查儿科全甲状腺切除术 (TT) 的趋势.
- 为了确定格雷夫斯病 (GD) 的发病率作为儿科TT的指示.
- 分析与GTTT相关的患者特征.
主要方法:
- 从1997年至2019年使用了医疗保健成本和利用项目 (HCUP) 儿童住院患者数据库 (KID).
- 使用单变量逻辑回归和曼-肯德尔测试进行了统计分析.
- 为儿科TT手术计算的加权国家估计.
主要成果:
- 据估计,在1997年至2019年期间,大约有4803次儿科TT进行.
- 格雷夫斯病 (GD) 占儿科TT的25%.
- 接受GDTT的患者更有可能是女性,黑人,西班牙裔和来自较低社会经济背景的患者.
结论:
- 格雷夫斯病 (GD) 是儿科全甲状腺切除术 (TT) 的新兴主要征兆.
- 在为GD接受TT的儿科患者中存在显著的人口和社会经济差异.
- 需要进一步的研究来了解这些趋势的驱动因素.
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