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在接受肢体挽救手术与截肢治疗下肢肉瘤的社会经济差异

Dylan K Kim¹, Kevin Kuonqui¹, David Dugue¹

¹Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia, University Irving Medical Center, New York, NY, USA.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

|October 25, 2024

概括

社会经济因素显著影响下肢肉瘤治疗,某些少数群体和农村居民面临更高的截肢率. 即使控制癌症特征时,这些差异仍然存在,这凸显了针对性干预的需要.

科学领域:

整形瘤学整形瘤学
社会经济健康差异差距
癌症治疗结果的结果

背景情况:

肢体救援手术在下肢肉瘤中优先于截肢,提供更好的生活质量和降低患病率.
这项研究调查了影响肢体挽救手术和截肢之间选择的社会经济差异.

研究的目的:

分析肢体节约手术与下肢肉瘤截肢的社会经济差异.
为了确定与更高的截肢风险相关的人口和临床因素.

主要方法:

利用监测,流行病学和最终结果 (SEER) 数据库 (2007-2021) 对患有下肢骨或软组织肉瘤的患者.
收集的人口,社会经济和瘤数据.
执行多变量二元逻辑回归以确定截肢的风险因素.

主要成果:

在6465名患者中,截肢的发生率为9.1%.
非西班牙裔美国印第安人/阿拉斯加原住民种族 (OR: 1.78) 和非大都市居住 (OR: 1.69) 显著增加了截肢率.
截肢与更高的10年癌症特异性死亡率相关,独立于社会人口统计学和临床因素.

结论:

在节约四肢手术与下肢肉瘤的截肢率之间存在显著差异.
尽管控制了基线瘤特征,但这些差异仍然存在.
对社会经济驱动因素的进一步研究对于制定改善公平重建结果的倡议至关重要.

关键词:

截肢是一种截肢.不平等的差异差异的差异肢体的救援工作整形外科手术整形外科手术塞尔 (Seer) 是一个明星.这种类型的肉瘤是sarcoma.

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