在患有慢性鼻炎的华裔美国人中,治疗决策
Kevin Hur1, Jaynelle Gao1, Amila Adili2
1Caruso Department of Otolaryngology-Head & Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, U.S.A.
The Laryngoscope
|January 2, 2025
概括
与非华裔美国人相比,患有慢性鼻炎 (CRS) 的华裔美国患者不太可能选择内镜外科手术 (ESS). 然而,ESS有效地改善了中华裔美国人患有CRS的患者的生活质量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
- 医疗决策的制定 医疗决策的制定
背景情况:
- 关于种族和种族如何影响慢性鼻炎 (CRS) 治疗决策的研究有限.
- 了解这些差异对于公平的患者护理至关重要.
研究的目的:
- 调查影响医疗耐药CRS治疗方式选择的因素.
- 为了比较中华裔美国人和非中华裔美国人的治疗决策.
主要方法:
- 预期招募具有持续症状的CRS患者.
- 患者可以选择继续医疗治疗或内镜鼻手术 (ESS).
- 多变量逻辑回归分析了种族和治疗选择之间的关联,并调整了共变量.
主要成果:
- 在134名患者中,59%选择了ESS. 非华裔美国人更有可能选择ESS (OR=7.92).
- 两组之间在人口统计或疾病严重程度方面没有发现显著的基线差异.
- 接受ESS的华裔美国患者在术后显示出显著的SNOT-22得分改善.
结论:
- 与非华裔美国患者相比,耐火性CRS的华裔美国患者对ESS的倾向较低.
- ESS是一种有效的治疗方法,可以改善中美CRS患者的生活质量.
- 需要进一步的研究来确定这一群体中手术治疗的障碍.
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