使用外科结果的可取性排名 (DOOR) 检查儿科手术中的种族和民族差异
Ikemsinachi C Nzenwa1, Michael A Kochis1, Alyssa Stetson1
1Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
American journal of surgery
|August 27, 2025
概括
经过手术的黑人儿童有较高的不良结果的几率,根据结果排名的可取性 (DOOR) 评分进行测量. 这突显了儿童手术的潜在种族差异.
科学领域:
- 儿童手术
- 健康上的差异
- 健康的社会经济决定因素
背景情况:
- 结果排名的可取性 (DOOR) 系统有助于评估多种术后结果.
- 通过DOOR可以更好地识别与健康社会决定因素有关的风险.
- 这项研究调查了儿童手术患者的种族,种族和DOOR分数之间的联系.
研究的目的:
- 检查患者的种族和种族之间的关联以及他们的结果排名 (DOOR) 评分.
- 在儿科手术患者的术后结果中发现潜在的种族和种族差异.
主要方法:
- 从NSQIP-儿科数据库中使用的数据涵盖2012-2022年.
- 包括接受一般性,泌尿或妇科手术的儿科患者 (≤18岁).
- 使用顺序逻辑回归来分析种族,种族和DOOR得分之间的关系 (范围为1-6).
主要成果:
- 对368,190名患者的分析显示,种族,民族和DOOR分数之间存在显著的关联.
- 黑人儿科手术患者的DOOR得分 (OR1. 06) 增加.
- 拉丁裔儿童手术患者的高DOOR分数 (OR0. 89) 的几率降低.
- 这些差异在黑人患者的一般和非选择性手术中持续存在.
结论:
- 黑人儿童面临更高的可能性经历不太理想的手术结果.
- 调查结果表明儿童手术的质量存在种族差异.
- 需要进一步的研究来制定针对公平护理的针对性干预措施.
相关概念视频
Psychosurgery
104
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
104
Kidney Transplant II: Surgical Procedure
75
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
75
Ranks
286
Unlike parametric methods, nonparametric statistics are ideal for nominal and ordinal data, requiring fewer assumptions about the population's nature or distribution. This makes nonparametric methods easier to apply and interpret, as they do not depend on parameters like mean or standard deviation. One common approach in nonparametric analysis is to sort data according to a specific criterion. For instance, we might arrange weather data from hottest to coldest days in a month or rank cities...
286
Comparing the Survival Analysis of Two or More Groups
280
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
280


