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与手术前缩相关的因素来自美国大型,具有种族和民族代表性的减肥治疗计划:单中心回顾性,队列研究
Safraz A Hamid1,2, Samuel D Butensky3, Elena Graetz3,4
1Yale University School of Medicine, New Haven, CT, United States. safraz.hamid@yale.edu.
Obesity surgery
|April 28, 2025
概括
在患有多种与肥胖有关的疾病和医疗保险的患者中,代谢和减肥手术 (MBS) 计划的手术前消耗率更高. 西班牙裔种族与这种多样化的患者群体中较低的消耗率有关.
科学领域:
- 肥胖医学 肥胖医学
- 手术结果研究研究.
- 健康差异 在健康上的差异
背景情况:
- 从代谢和减肥手术 (MBS) 计划中进行手术前消耗会影响患者获得肥胖治疗的机会.
- 之前关于消耗因子的研究仅限于小的,不多样化的样本.
- 这项研究分析了一大批具有种族和民族代表性的队列,以确定消耗预测因素.
研究的目的:
- 确定与MBS计划的手术前消耗相关的个人和区域因素.
- 在一个大型,多样化的患者群体中检查这些因素,代表美国.
- 在减肥手术之前,为减少患者退学的策略提供信息.
主要方法:
- 来自城市学术卫生系统的电子健康记录的回顾性审查 (2021-2024年).
- 术前磨损定义为未能在研究期内完成手术.
- 使用多变量后勤回归来分析个人和区域因素,控制混因素.
主要成果:
- 在3043名患者中,28.0%是黑人,31.1%是西班牙裔.
- 患有消耗的患者年龄较大,患有更多与肥胖相关的疾病,并且更有可能拥有医疗保险.
- 增加的消耗率与>3个与肥胖相关的疾病 (aOR 1.53) 和医疗保险 (aOR 1.94) 相关;西班牙裔族裔的几率下降 (aOR 0.80).
结论:
- 超过三种与肥胖相关的疾病和医疗保险增加了MBS计划的手术前消耗风险.
- 西班牙裔族裔与这一群体的磨损风险较低有关.
- 需要进一步的研究,以了解磨损的原因,并制定有针对性的干预措施.
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