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肩膀手术中的种族和民族差异:系统性审查
DaShaun A Ragland1, Andrew J Cecora1, Erel Ben-Ari1
1Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.
Journal of shoulder and elbow surgery
|August 5, 2024
概括
种族和民族差异影响了肩膀手术的利用率和结果. 黑人和西班牙裔/拉丁裔患者面临更糟糕的结果,包括更长的停留时间和更高的再入院率,突出显示需要进一步研究以解决这些骨科医疗保健差异.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 健康差距 研究 研究 研究 研究
背景情况:
- 在肌肉骨护理方面仍然存在显著的医疗保健差异.
- 种族和民族差异在骨科手术中很普遍,预计会增加.
- 了解这些差异对于公平的患者护理至关重要.
研究的目的:
- 系统地审查和分析在使用和共同的肩膀外科手术程序的结果种族和种族差异.
- 确定这些差异最明显的特定程序.
- 建立未来研究和干预的基准.
主要方法:
- 在主要的生物医学数据库 (PubMed,Embase,Cochrane,ClinicalTrials.gov) 进行了全面的文献搜索.
- 包括报告在特定肩部手术中跨多个种族/族群的利用和/或结果的研究.
- 提取的数据包括人口统计数据,手术使用情况和外科手术期间的测量.
主要成果:
- 在18项审查的研究中,有13项证实种族/种族是影响利用和结果的因素.
- 黑人患者的利用率下降,停留时间长,手术时间增加,肩膀全关节整形术 (TSA) 的死亡率更高.
- 西班牙裔/拉丁裔和黑人患者面临着延迟手术和重新入院治疗近腰骨折 (PHF) 的更高风险.
结论:
- 目前,有限的文献记录了肩膀手术利用和结果的种族和民族差异.
- 对这些差异的根本原因的研究显著缺乏.
- 进一步基于证据的研究对于制定减轻肩部外科手术医疗保健差异的战略至关重要.
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