整形外科结果的种族差异:一个系统的文献综述和元分析
Ron Skorochod1,2, Yoram Wolf1,2
1From the Plastic Surgery Unit, Hillel Yaffe Medical Center, Madera, Israel.
Plastic and reconstructive surgery. Global open
|October 10, 2024
概括
整形手术结果的种族差异很大,特别是在非裔美国人中,他们面临着更高的术后并发症风险. 解决社会人口学因素对于公平的患者护理至关重要.
科学领域:
- 整形和重建外科手术 整形和重建手术
- 健康差异研究 研究健康差异研究
- 手术后果分析手术后果分析
背景情况:
- 现有的文献提出了关于手术结果的种族差异的相互矛盾的发现.
- 变性需要在整形和重建外科手术中进行专注的评估.
- 了解这些差异是制定有效,以患者为中心的护理指南的关键.
研究的目的:
- 确定种族差异是否会影响整形和重建外科手术的结果.
- 综合当前关于手术结果的基于种族的差异的证据.
主要方法:
- 一个系统的文献审查,遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在PubMed,Embase,MEDLINE和Cochrane图书馆进行的搜索.
- 对13项研究的元分析,计算术后并发症的几率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 对13项研究的总体元分析 (平均8059名患者/一项研究) 显示,合并的OR值为1.21 (95% CI: 1.00-1.46),表明非白人种族与并发症之间没有显著的关联.
- 对10项比较非裔美国人和白人患者的研究进行了次分析,发现非裔美国人的风险增加具有统计学意义 (OR: 1.36,95% CI: 1.06-1.74).
- 没有发现出版偏差,但实质性的异质性 (73%-79%) 表明影响研究因素.
结论:
- 在整形和重建手术的结果中,种族差异显而易见.
- 在规划手术和术后护理时,医疗保健提供者应考虑患者的社会人口背景,获得护理,支持系统和语言.
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