关节镜利用不同种族群体之间的差异和并发症
Rafael A Buerba1,2, Jonathan Dalton1, Shaan Sadhwani3
1University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
概括
关节镜 (HA) 的使用率在所有种族群体中都增加,但与白人患者相比,少数民族的使用率仍然较低. 各组的并发症率相似,尽管非洲裔美国人和西班牙裔患者的并发症率略高.
科学领域:
- 整形外科手术 整形外科手术
- 健康差异 在健康上的差异
- 外科手术的结果
背景情况:
- 关节镜术 (HA) 近年来越来越多地使用.
- 关于HA程序和结果的种族和民族差异的数据有限.
- 了解这些差异对于公平的医疗保健服务至关重要.
研究的目的:
- 分析关节镜利用的种族和民族差异.
- 为了比较经过HA的不同种族和种族群体的30天术后并发症率.
- 识别少数群体获得HA的潜在障碍.
主要方法:
- 从2006年到2017年使用国家外科质量改进计划 (NSQIP) 数据库.
- 将2230名HA患者分为六个自我报告的种族/民族类别.
- 在30天内识别和分析重大和轻微的术后并发症.
主要成果:
- 在不同种族群体中观察到HA手术比例的显著差异 (P < .05).
- 白人患者占样本的69%;少数民族代表性不足.
- 对所有群体来说,HA的使用率随着时间的推移而增加,但对少数群体来说仍然不成比例地低.
- 整体30天的并发症率为1.3% (主要的0.5%,小的0.9%).
- 非洲裔美国人和西班牙裔患者的并发症率高于白人患者,尽管在统计学上并不显著.
结论:
- 与白人患者相比,种族和民族少数群体在关节透镜中使用不足.
- 虽然在统计学上并不显著,但少数群体中更高的并发症率需要引起注意.
- 需要对保险地位和获得护理的机会进行进一步的研究,以解决这些差异.
更多相关视频
07:45The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
3.3K
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.5K
相关概念视频
Mismatch Repair
Overview
Sex Linked Disorders
Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
Mismatch Repair
Organisms are capable of detecting and fixing nucleotide mismatches that occur during DNA replication. This sophisticated process requires identifying the new strand and replacing the erroneous bases with correct nucleotides. Mismatch repair is coordinated by many proteins in both prokaryotes and eukaryotes.
The Mutator Protein Family Plays a Key Role in DNA Mismatch Repair
The human genome has more than 3 billion base pairs of DNA per cell. Prior to cell division, that vast amount of genetic...
The Mutator Protein Family Plays a Key Role in DNA Mismatch Repair
The human genome has more than 3 billion base pairs of DNA per cell. Prior to cell division, that vast amount of genetic...
Factors Affecting the Risk of Infection
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Barriers to Effective Communication II
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Psychological and Sociocultural Causes of Schizophrenia
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
