到达治疗中心的旅行时间与儿科炎性肠病的诊断延迟有关
Joi F McLaughlin1, Tiffany Linville2, Traci W Jester3
1Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
概括
儿童炎症性肠病 (IBD) 的延迟诊断对于克罗恩病比性结肠炎更长. 诊断时间在种族和种族群体之间是公平的,但较长的旅行时间影响了护理.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 炎症性肠病 (IBD) 的研究.
- 诊断中的健康公平.
背景情况:
- 儿科炎症性肠病 (IBD) 的延迟诊断与症状延长和长期健康结果较差有关.
- 了解导致诊断延迟的因素对于改善患者护理和治疗结果至关重要.
研究的目的:
- 评估种族,种族,疾病类型和社会因素与儿科IBD延迟诊断之间的关联.
- 确定IBD儿童诊断延迟的关键决定因素.
主要方法:
- 一项涉及22个美国地区 (2019-2022) 869名新诊断的儿科IBD患者的横截面研究.
- 数据收集包括父母/监护人报告的种族,种族,诊断时间和健康的社会决定因素.
- 使用双变量和多变量分析来评估与诊断延迟类别的关联.
主要成果:
- 诊断的平均时间为265.9天. 克罗恩病 (CD) 的诊断时间比性结肠炎 (UC) 时间更长.
- 与更长的诊断延迟相关的因素包括CD与UC,多种并发症的存在,以及延长前往诊所的旅行时间.
- 诊断延迟与种族,种族,性别,父母教育,收入,保险,健康素养或对卫生系统的不信任之间没有发现显著的关联.
结论:
- 与性结肠炎相比,克罗恩氏病的儿科IBD诊断延迟时间更长.
- 重要的是,诊断时间表在不同种族和种族群体之间被发现是公平的.
- 新的诊断护理模式是必要的,以解决延迟,特别是对于面临长途旅行挑战的人群.
更多相关视频
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
329
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
329
Inflammatory Bowel Disease II: Crohn's Disease
205
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
205
Inflammatory Bowel Disease IV: Pharmacological Management
123
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
123
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
62
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
62
Chronic Bowel Disorders: Introduction
420
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
420
Inflammatory Bowel Disease V: Surgical Management
133
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
133


