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患者收入/财富水平和手术后90天内的术后结果:系统性审查和元分析
1City St George's, University of London, London, United Kingdom; St George's Hospital, London, United Kingdom.
The Journal of surgical research
|July 18, 2025
概括
较低的患者收入与更糟糕的术后结果有关. 这一系统性审查强调了社会经济地位如何影响手术结果,强调了需要量身定制的护理来改善患者的康复.
科学领域:
- 医疗服务研究 医疗服务研究
- 健康的社会经济决定因素
- 手术结果研究研究.
背景情况:
- 社会经济因素显著影响患者的治疗结果.
- 本系统性审查和元分析研究了患者收入和财富对90天术后结果的影响.
研究的目的:
- 系统地审查和分析患者收入/财富水平对90天术后结果的影响.
- 通过风险分层和增强的外科手术期间策略,提供改善患者护理的证据.
主要方法:
- 在MEDLINE和Embase进行了全面的文献搜索.
- 包括36项研究,涉及24,227,506名患者,遵守PRISMA指南.
主要成果:
- 较低的收入/财富水平与较差的90天术后结果有关.
- 与私人保险相比,医疗补助,医疗保险和无保险状态显示,并发症,死亡率和再入院的几率增加.
结论:
- 患者的收入是影响术后结果的关键社会经济因素.
- 考虑到社会经济地位对于准确的风险分层,术后准备和改善术后护理至关重要.
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