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患者邻居的逆境与访问有关,并没有等待时间进行甲状腺切除术
Markayle Schears1, Courtney Balentine2, Rebecca Sippel2
1University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Section of Endocrine Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
The Journal of surgical research
|October 19, 2024
概括
来自社会贫困地区的患者甲状腺切除术率较低,但对于原发性甲状腺功能障碍症 (PHPT) 没有显著的手术延迟. 社会经济地位会影响接受护理的人的治疗机会,但不一定影响治疗时间表.
科学领域:
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 原发性甲状腺功能障碍症 (PHPT) 治疗延迟使患者的发病率恶化,不成比例地影响服务不足的人群.
- 健康差异与社会经济因素有关,可能会增加PHPT患者的手术等待时间.
研究的目的:
- 调查来自社会和经济贫困地区的PHPT患者是否经历了更长的手术等待时间.
- 分析区域贫困指数 (ADI) 与PHPT副甲状腺切除术延迟之间的关联.
主要方法:
- 对1132名在第三级护理中心接受副甲状腺切除术 (2013-2022) 的PHPT患者的回顾性分析.
- 患者根据区域贫困指数 (ADI) 分类为分数,反映了健康的17个社会决定因素.
- 线性回归用于比较从第一个高血值到手术的时间,跨越ADI组,控制护理过程因素.
主要成果:
- 来自贫困地区的患者更有可能是农村居民,并具有更高的并发病率.
- 尽管在高度不利的组中甲状腺切除术率低于预期,但所有ADI组中手术的中位时间相似.
- 在ADI和治疗延迟之间没有发现显著的关联 (高劣势患者的中位数为527天,其他患者的中位数为633-657天).
结论:
- 虽然社会经济因素可能会影响PHPT获得护理的机会,但它们似乎不会延长最终接受护理的患者的手术治疗.
- 该研究强调,已建立的护理途径可以缓解与PHPT治疗中的健康社会决定因素相关的延迟.
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