通过整形外科医生治疗的患者与整形外科医生治疗的患者的结果的比较
Tara A Russell1,2, Ryu Yoshida3, Mauranda Men2
1Section of Colon and Rectal Surgery, Department of Surgery, University of California, Los Angeles.
JAMA surgery
|October 16, 2024
概括
在异形医学博士 (MD) 和骨科医学博士 (DO) 外科医生之间,手术结果没有差异. 这项大型医疗保险研究发现30天死亡率,再入院或常见手术逗留时间没有显著差异.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 医疗服务研究 医疗服务研究
背景情况:
- 美国有两个主要的医生培训途径:全方位医学博士学位 (MD) 和骨科医生博士学位 (DO).
- 有限的证据比较了MD和DO训练有素的外科医生之间的外科结果.
研究的目的:
- 根据外科医生的医学院培训 (MD与DO) 来评估外科结果和实践模式的差异.
主要方法:
- 使用医疗保险索赔数据 (2016-2019) 的回顾性队列研究.
- 分析了65至99岁患者的230多万次手术手术.
- 使用多变量回归比较30天死亡率,再入院和停留时间,并根据患者,程序和外科医生的特征进行调整.
主要成果:
- 在MD和DO外科医生之间30天死亡率没有显著差异 (1.61%对1.58%).
- 在30天的再接收或逗留时间方面没有观察到任何差异.
- DO外科医生更有可能治疗老年,女性和双重资格患者,并在公共/非教学医院工作.
结论:
- 患者的结果,包括死亡率和再入院,看起来并没有根据外科医生是MD还是DO受过培训而有所不同.
- 结果表明,这两个医生培训途径之间的手术质量可以比较,用于共同的手术程序.
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