原发性甲状腺功能障碍患者使用医疗保健:结石形成的影响是什么?
Kieran J Moore1, Joshua White1, Kara Matheson2
1Department of Urology, Dalhousie, Halifax, NS, Canada.
概括
甲状腺切除术显著减少了原发性甲状腺功能障碍 (PHPT) 患者的急诊和泌尿干预. 这种手术降低了医疗资源的利用率,
科学领域:
- 内分泌学
- 肝脏病学
- 外科瘤学
背景情况:
- 尿病是原发性甲状腺功能障碍症 (PHPT) 的常见并发症.
- 已知甲状腺切除术可以减少结石的发生率.
- 了解手术前后的医疗资源利用对于患者管理至关重要.
研究的目的:
- 在甲状腺切除术前和之后评估PHPT患者的医疗资源利用率.
- 在这个患者群体中确定医疗保健利用率增加的预测因素.
主要方法:
- 对接受副甲状腺切除术的PHPT患者的回顾性分析 (2013-2018).
- 包括手术前5年至手术后3年的数据.
- 评估使用随机效应波桑回归的急诊室和泌尿干预.
主要成果:
- 在副甲状腺切除术后,急救诊所的次数从每年0. 42降至0. 20 (IRR为0. 48, p=0. 024).
- 泌尿器科治疗石头的年率从1. 24降至0. 53 (IRR为0. 42, p=0. 0005).
- 没有显著的差异ED访问基于性别或非泌尿病原因手术后.
结论:
- 甲状腺切除术显著减少了医疗资源的使用,包括急救诊所和泌尿干预.
- 对PHPT进行手术可以降低医疗费用并改善患者的治疗结果.
- 加快甲状腺切除术可能有助于管理PHPT相关的并发症.
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