在四大洲的失血管人群中,主要的下肢截肢后的全球假肢供应率:一个范围审查
Christopher K Wong1, Christina Shimoda2, Emma Steel2
1Department Rehabilitation Medicine, Columbia University Irving Medical Center Programs in Physical Therapy, New York, NY, United States.
Physical therapy
|August 29, 2025
概括
全球只有不到一半的下肢截肢患者接受了假肢. 根据国家收入,医疗保健模式,性别和种族,这项研究发现了假肢供应的显著差异,突出了关键的证据差距.
科学领域:
- 公共卫生
- 康复医学
- 医疗服务研究
背景情况:
- 下肢截肢 (LEA) 是全球性的公共卫生挑战,导致严重的残疾和医疗费用.
- 假肢设备对于恢复功能移动性和改善LEA后个体的生活质量至关重要.
- 然而,关于全球假肢供应率和相关医疗保健成本的综合数据基本上尚不清楚.
研究的目的:
- 进行全球范围的证据审查,以确定主要的下肢切断后的假肢供应率.
- 确定假肢供应研究中的现有证据缺口.
主要方法:
- 根据PRISMA- Sc指南进行了系统范围审查.
- 在五个数据库中使用MESH和关键字进行搜索,没有语言限制.
- 该审查包括18篇文章,分析了来自17个队列和1个涉及31,982名参与者的病例控制研究的数据.
主要成果:
- 10个国家的整体假肢提供率为48.5%,高收入国家 (48.6%) 和中等收入国家 (39.2%) 的比例更高.
- 根据医疗保健模式,提供假肢的比例有很大差异,比斯马克非营利性全民医疗保健系统的比例最高 (73.7%).
- 与骨截肢,男性和白人相比,女性和种族/少数民族的肢体截肢率较低.
结论:
- 全球只有不到一半接受LEA的患者获得了假肢,
- 提供率的差异与国家收入水平,医疗保健系统和人口因素有关,这凸显了进一步研究的必要性.
- 了解影响假肢使用和医疗保健政策的因素对于改善截肢者的生活质量至关重要.
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