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在全喉切除术后的30天结果中的种族差异
Tatiana Ferraro1,2, Abdulla K Ahmed1, Weston L Niermeyer1
1Division of Otolaryngology-Head and Neck Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA.
Ear, nose, & throat journal
|November 12, 2024
概括
接受全喉切除术 (TL) 的黑人患者面临更高的手术并发症率. 需要进一步的研究来理解和解决这些术后差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 健康差距 研究 研究 研究 研究
背景情况:
- 现有研究强调了喉癌治疗和生存的种族差异.
- 然而,在全喉切除术 (TL) 后的立即术后结果缺乏关于种族差异的全面调查.
研究的目的:
- 在全喉切除术 (TL) 后30天内调查不良结果的种族和民族差异.
主要方法:
- 分析了在2010年至2021年期间接受TL的1493名患者的国家多机构队列.
- 使用后勤回归模型来评估种族/种族与术后并发症之间的关联.
主要成果:
- 与其他种族群体相比,黑人患者更有可能接受片重建 (P=.023).
- 黑人患者在TL后30天内出现手术并发症的几率高出1.532倍 (P<.001).
结论:
- 经过全喉切除术的黑人患者的手术并发症率明显更高.
- 鉴于数据的局限性,未来的研究应该探索导致这些差异的社会经济和瘤因素.
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