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进入眼外科手术的地理分布:一个IRIS®注册表分析
Anagha Lokhande1, Kanza Aziz2, Asahi Fujita2
1Harvard Ophthalmology AI Lab, Schepens Eye Research Institute of Mass Eye and Ear, Harvard Medical School, Boston, MA, USA; The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Ophthalmology
|July 24, 2025
概括
大多数绿眼的手术都发生在城市地区,因为白内障切除术和绿眼排水装置植入需要10%的患者进行区域间旅行. 获得青光眼外科护理的机会在地理位置上有所不同.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 玻璃眼是全球不可逆转的失明的主要原因.
- 获得绿眼的外科干预对于维护视力至关重要.
- 获得医疗保健的地理差异可能会影响玻璃眼外科治疗的结果.
研究的目的:
- 评估在美国获得青光眼外科护理的机会.
- 量化各种青光眼外科手术的地理分布.
- 为了确定练习模式和患者的旅程,用于玻璃眼外科手术.
主要方法:
- 使用IRIS®注册表 (2013-2019) 的回顾性队列研究.
- 描述性统计和多变量物流回归分析了实践和旅行模式.
- 城市和非城市邮政编码是使用USDA农村-城市通勤区代码来定义的.
主要成果:
- 最常见的手术是椎间板微绕道 (34%) 和椎间板切除术 (23%).
- 91%的手术发生在城市地区,96%的专家只在城市地区进行手术.
- 47%的手术涉及区间旅行,8%涉及区域间旅行,其中带切除术和GDD植入具有最高的区域间旅行比例.
结论:
- 大多数青光眼外科手术都集中在城市实践场所.
- 在大约10%的病例中,带切除术或青光眼排水装置植入导致了区域间旅行.
- 存在着眼外科护理的地理分布不良,可能会影响患者的访问.
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