患者和提供者特征与接受图像导向干预治疗腰部疼痛相关
Ghazaleh Safazadeh1, Ruth C Carlos2, Lubdha M Shah3
1From the Department of Radiology and Imaging Sciences (G.S., L.M.S., T.A.H., M.E.P.), University of Utah Health Sciences Center, Salt Lake City, Utah Ghazaleh.Safazadeh@hci.utah.edu.
AJNR. American journal of neuroradiology
|September 16, 2024
概括
在腰部疼痛 (LBP) 治疗中存在种族差异. 与白人患者相比,患有严重腰痛的少数群体接受的图像指导干预比白人患者少,通常是由于专家推不完整.
科学领域:
- 医学研究 医学研究
- 卫生公平性健康公平性
- 疼痛管理 疼痛管理
背景情况:
- 腰部疼痛是导致残疾的主要原因之一.
- 在非药物治疗LBP治疗中的种族差异已被记录.
- 在LBP手术前,保守的图像引导干预措施是常见的.
研究的目的:
- 调查LBP治疗中的种族差异.
- 分析患者与医疗服务提供者的讨论对治疗计划的影响.
- 为了比较白人/非西班牙裔和代表不足的少数民族LBP患者之间的图像指导干预率.
主要方法:
- 在犹他州医疗保健系统中对成年LBP患者的回顾性分析.
- 诊断后1年内图像指导干预的频率比较.
- 检查了包括物理治疗,手术和治疗时间在内的二次结果.
主要成果:
- 白人/非西班牙裔患者接受图像指导干预的频率更高 (12.5%与7.2%相比),尽管代表性不足的少数群体的疼痛程度更高.
- 代表性不足的少数群体更频繁地去看全科医生/APP,但专家推完成率较低 (60.4%vs77.7%).
- 代表性不足的少数群体向专家推的时间更长 (54天而不是27.5天).
结论:
- 代表性不足的少数群体患有LBP的患者接受的图像指导干预比白人患者少.
- 不完整的专家推和评估是对少数群体的干预的主要障碍.
- 提供者偏见没有被支持为一个因素;可能存在系统性障碍.
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