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Updated: May 6, 2026

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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
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破裂腹腔大动脉动脉瘤的修复方式的社会经济和区域差异
Tomás Daviú-Molinari1, Lindsay Haefner1, Marie-Claire Roberts2
1Department of Surgery, State University of New York, Downstate Health Sciences University, Brooklyn, NY.
Journal of vascular surgery
|August 2, 2024
概括
这项研究没有发现基于种族,收入或保险状况的破裂腹腔大动脉动脉瘤 (rAAA) 开放或内血管动脉瘤修复的显著差异. 对rAAA的治疗选择在所有人口群体中都是公平的.
科学领域:
- 血管外科 血管外科
- 健康差距 研究 研究 研究 研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 种族/民族少数群体的腹腔大动脉动脉瘤破裂 (rAAA) 发生率更高.
- 对于rAAA.的治疗方式 (开放性动脉瘤修复[OAR]与内血管动脉瘤修复[EVAR]) 的差异存在不确定性.
- 本研究调查了基于种族/种族,收入和保险的rAAA管理中的潜在差异.
研究的目的:
- 检查种族/种族,中位数收入或保险状况是否会影响对rAAA治疗的OAR和EVAR之间的选择.
- 为了确定破裂腹腔大动脉动脉瘤的管理中的潜在差异.
主要方法:
- 从国家住院患者样本 (2002-2020年) 中对10788名rAAA患者的回顾性分析.
- 在不同种族/种族群体中,OAR与EVAR利用的比较.
- 多层混合效应物流回归模型,调整为患者和系统因素.
主要成果:
- 白人患者占队列的88.1%,其次是黑人 (5.6%),西班牙裔 (3.9%) 和亚洲/美洲原住民 (2.4%).
- 亚洲人/美国原住民的OAR频率最高 (61.7%),相比EVAR (38.3%).
- 经调整的模型显示,OAR与EVAR使用的种族/种族,首要付款人或收入中位数没有统计学上显著的差异.
结论:
- 根据种族,保险或收入中位数,没有发现OAR或EVAR用于rAAA管理的差异的统计证据.
- 这项研究建议在不同的人口群体中为破裂的腹腔大动脉动脉瘤选择公平的治疗方式.
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