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美国过度活跃膀的先进治疗方法的差异 根据种族
Clemens An1, Pranjal Agrawal2, Aurora Grutman2
1The Robert Larner M.D. College of Medicine at the University of Vermont, Burlington, VT.
Urology
|October 2, 2024
概括
与白人女性相比,患有过度活性膀 (OAB) 的黑人女性获得的医疗和微创治疗处方较少. 在OAB治疗处方中的这些差异凸显了潜在的处方不平等.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 健康差异 在健康上的差异
- 药物治疗 药物治疗
背景情况:
- 过度活跃的膀 (OAB) 影响着数以百万计的女性,现有各种治疗选择.
- 在获得医疗保健和医疗保健成果方面的种族和民族差异已得到充分记录.
- 了解种族对OAB治疗处方模式的影响对于公平护理至关重要.
研究的目的:
- 调查种族对过度活性膀 (OAB) 治疗的处方模式的影响.
主要方法:
- 利用TrinetX钻石网络识别诊断为OAB的成年女性.
- 应用了倾向性得分匹配和Cox比例危险回归来比较治疗队列.
- 分析了地理位置的种族治疗率.
主要成果:
- 已确定有超过260万名成年女性患有OAB;767,159名白人和108,464名黑人.
- 白人患者 (20.4%) 比黑人患者 (16.6%) 更频繁地接受OAB治疗.
- 白人患者在所有分析的邮政编码中,即使在匹配后,与黑人患者相比,OAB治疗的处方率始终更高.
结论:
- 黑人女性对医疗和微创性OAB疗法的处方率明显较低.
- 在OAB治疗中的种族差异似乎源于处方实践,而不是诊断差异.
- 进一步的研究对于阐明和解决OAB管理中的这些处方差异至关重要.
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