在脊髓转移性疾病中利用息治疗的种族,民族和语言相关差异
Renuka Chintapalli1, Luis Fernando Viegas de Moraes Leme2, Atman Desai1
1Department of Neurosurgery, Stanford University, Palo Alto, CA, USA.
The American journal of hospice & palliative care
|April 10, 2025
概括
在脊柱转移性疾病患者的息护理获取方面存在种族和民族差异. 虽然在统计学上并不显著,但分析表明,少数群体和非英语使用者在住院治疗时接受的息护理咨询较少.
科学领域:
- 息护理研究 息护理研究
- 健康差异 在健康上的差异
- 在瘤学瘤学.
背景情况:
- 在获得息护理方面存在种族和民族差异是有记录的.
- 在脊髓转移性疾病中,种族,民族和息护理利用之间的关系尚未得到充分理解.
研究的目的:
- 调查脊柱转移性疾病患者在住院息护理咨询 (IPCC) 中基于种族,种族和语言的差异.
- 评估与IPCC使用和第一次咨询的时间相关的因素.
主要方法:
- 对被诊断为脊髓转移性疾病的成年患者电子健康记录的回顾性审查 (2004年1月 - 2024年12月).
- 分析主要结果 (IPCC使用) 和次要结果 (IPCC总数,到第一个IPCC的时间).
- 使用双变量分析和多变量回归来评估差异.
主要成果:
- 在851名患者中,303名 (35.6%) 患者至少接受了一次IPCC.
- 双变量分析表明,白人,亚洲人,美洲原住民和"其他"种族群体的IPCC利用趋势较低.
- 多变量回归表明,美洲原住民的种族与IPCC的几率降低和第一个IPCC的时间更长有关. 亚洲种族",其他"种族,西班牙裔种族,非英语语言和需要口译员与更少的总体IPCC有关,尽管在调整后不具有统计学意义.
结论:
- 两变量分析和回归趋势表明,脊髓转移性疾病患者在息护理获取方面存在潜在的种族,种族和语言差异.
- 进一步的研究和政策干预是必要的,以解决这些差异,并改善患者的结果.
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