儿童卵巢质量管理中的种族差异
Taylore King1, Kamaria Dansby2, Molly Lavaud2
1Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
Journal of pediatric surgery
|April 25, 2025
概括
患有卵巢质量的黑人女性比白人女性更频繁地接受卵巢切除术,尽管恶性瘤的发病率相似. 这表明儿童卵巢质量的手术干预可能存在种族偏见.
科学领域:
- 儿科手术 儿科手术
- 手术瘤学手术瘤学
- 健康差异 在健康上的差异
背景情况:
- 健康的社会决定因素,包括种族和种族,影响儿科手术护理的获取和结果.
- 关于患者种族如何影响儿科女性卵巢质量的手术干预的研究有限.
研究的目的:
- 研究患者种族对儿科女性卵巢质量的手术干预的影响.
- 为了确定这种患者群体的手术管理和结果的潜在种族差异.
主要方法:
- 对接受卵巢瘤手术的儿科女性 (≤18岁) 进行了回顾性单一机构审查 (2009-2021年).
- 收集的数据包括社会人口统计,种族,手术前评估,手术类型和病理学.
- 费舍尔的精确测试分析了跨种族群体临床发现的差异.
主要成果:
- 包括409例病例:48%白人,41%黑人,11%其他种族.
- 种族间恶性瘤发病率没有显著差异 (p=0.862).
- 黑人患者比白人患者更容易接受卵巢切除术 (p=0.009).
结论:
- 与白人女性相比,有卵巢质量的黑人女性患卵巢切除的可能性更高,无论恶性瘤如何.
- 这种差异表明了手术决策中的潜在种族偏见.
- 术前风险分层算法可能有助于减轻偏见,需要进一步调查.
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