在胃肠道癌症手术后,残疾对术后结果的影响
Shahzaib Zindani1, Mujtaba Khalil1, Selamawit Woldesenbet1
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.
Annals of surgical oncology
|January 17, 2025
概括
接受胃肠道癌症手术的残疾人经历了更多的并发症和更少的健康日子在家里. 需要有针对性的干预措施来改善这一患者群体的治疗结果.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 健康差异 在健康上的差异
背景情况:
- 大约有6100万美国人患有残疾,面临着独特的医疗保健挑战和差异.
- 障碍严重影响患者的经验和手术后的结果.
研究的目的:
- 评估残疾对术后结果的影响.
- 评估残疾对手术后家庭健康日数 (HDAH) 的影响.
主要方法:
- 对接受胃肠道 (GI) 癌症手术的患者 (2017-2020) 的医疗保险数据的回顾性分析.
- 多变量回归模型被用来分析残疾和结果之间的关联.
- 结果包括术后并发症,出院处置和HDAH.
主要成果:
- 患有残疾的患者出现并发症的比率更高 (4.6%对3.3%),熟练护理机构的出院率 (26.6%对12.3%),再入院率 (20.0%对13.5%).
- 残疾人报告说,在家里健康的日子较少 (33%与19.2%相比).
- 残疾独立地与增加并发症几率 (OR1.36),再录取 (OR1.55) 和较少的HDAH (OR1.88) 相关.
结论:
- 残疾与胃肠道癌患者的手术后结果较差和减少的HDAH有关.
- 需要有针对性的干预措施来加强对残疾患者的护理.
- 确保残疾人获得公平的瘤和手术结果至关重要.
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