一项基于伊利诺伊州减肥手术的人口研究
Catherine S Valukas1, Joseph Sanchez1, Dominic Vitello1
1Northwestern Quality Improvement, Research and Education in Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois; Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois.
概括
伊利诺伊州的代谢和减肥手术利用率有所增加,但差异仍然存在. 西班牙裔和低收入患者的手术率较低,这表明这些群体的进入障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 健康差异 在健康上的差异
背景情况:
- 代谢和减肥手术 (MBS) 的利用率大幅增长.
- 进入MBS的障碍仍然存在,特别是在某些人口群体中.
研究的目的:
- 为了确定伊利诺伊州合格成年人中MBS使用率.
- 确定与在低体积医院 (LVHs) 接受MBS相关的患者特征.
主要方法:
- 分析伊利诺伊州医院行政数据 (2016-2022) 和人口估计.
- 计算每10万合格居民的MBS利率.
- 后勤回归用于识别与LVH利用相关的因素,定义为<50个年度程序.
主要成果:
- 年平均MBS率为每10万合格成年人中702人.
- 非西班牙裔黑人患者的发病率最高 (890/100,000),而西班牙裔患者的发病率最低 (396/100,000).
- 较低的家庭收入中位数与较高的LVH利用率有关.
结论:
- 在研究期间,伊利诺伊州的MBS程序几乎翻了一番,非西班牙裔黑人和医疗补助患者的显着增加.
- 显著的差异仍然存在,西班牙裔和低收入人口的MBS率低于州平均水平.
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