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将受割礼男孩与未受割礼男孩的阴茎问题进行比较:来自大型商业索赔数据库的见解,重点是进行割礼的供应商类型
Kiarad Fendereski1, Joshua John Horns2, Nathan Driggs3
1Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, 84132, USA.
Journal of pediatric surgery
|July 31, 2024
概括
阴茎问题在年轻男孩中不常见,但在割礼的男性中更常见. 与儿科医生相比,由外科医生进行的割礼与更高的阴茎问题的风险有关.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 割礼是男婴的一个常见程序.
- 了解潜在的阴茎问题和风险因素对于家长咨询和临床实践至关重要.
研究的目的:
- 为了比较受割礼男孩与未受割礼男孩的阴茎问题发生率.
- 为了确定是否进行割礼的医疗提供者的类型会影响术后并发症.
主要方法:
- 一项使用MarketScan数据库 (2011-2020) 进行的回顾性队列研究,其中包含CPT和ICD-9/10代码.
- 识别了受割礼的男孩,并将他们与未受割礼的对照进行了匹配.
- 主要结果定义为阴茎问题 (感染,炎症,尿道问题) 和次要结果作为短期并发症和提供者特定风险.
主要成果:
- 这项研究分析了大约85万名割礼男孩和85万名对照人群.
- 割礼男孩在生命的前五年内患上阴茎问题的风险增加了2.9倍 (1.7%与0.5%相比).
- 与儿童医生割礼的男孩相比,由外科医生割礼的男孩患阴茎问题的风险增加了2.1倍.
结论:
- 虽然阴茎问题在年轻男孩中并不常见,但割礼与更高的发生可能性有关.
- 割礼提供者的选择,特别是外科医生与儿科医生对比,影响了随后的阴茎问题的风险.
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