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研究领域医疗科学相关的健康和康复科学物理治疗
社会贫困对治疗策略的影响和患者报告的近腰骨折结果

社会贫困对治疗策略的影响和患者报告的近腰骨折结果

Joseph T Gutbrod ¹, Zachery Hong , Christopher G Herbosa , Dustin Stwalley , Jenna-Leigh Wilson , Anna N Miller

Joseph T Gutbrod ¹, Zachery Hong , Christopher G Herbosa

¹From the Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO (Gutbrod, Herbosa, Wilson, and Miller), the Department of Orthopedic Surgery, Cedars Sinai Medical Center, Los Angeles, CA (Hong), the Institute for Informatics, Washington University School of Medicine, St. Louis, MO (Stwalley).

⁰From the Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO (Gutbrod, Herbosa, Wilson, and Miller), the Department of Orthopedic Surgery, Cedars Sinai Medical Center, Los Angeles, CA (Hong), the Institute for Informatics, Washington University School of Medicine, St. Louis, MO (Stwalley).

The Journal of the American Academy of Orthopaedic Surgeons +

|

2025年九月4日

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在PubMed上查看摘要

概括

此摘要是机器生成的。

社会剥夺没有显著影响近腰骨折的治疗选择或患者的结果. 需要进一步研究以了解基于区域的贫困指数在PHF的骨科护理中的作用.

科学领域

整形外科
医疗服务研究
健康的社会经济决定因素

背景情况

社会经济地位可能会影响治疗和治疗结果.
了解社会剥夺对近腰骨折 (PHF) 的影响对于公平护理至关重要.
区域贫困指数 (ADI) 量化了地理层面的社会贫困.

研究的目的

评估社会剥夺 (ADI) 与PHF治疗策略之间的关联.
评估PHF患者的社会剥夺 (ADI) 和患者报告的结果 (PROMIS) 之间的关系.

主要方法

对275名流离失所的PHF进行了回顾.
根据区域剥夺指数 (ADI) 分类的患者.
用于身体功能,上肢,疼痛,抑郁和焦虑的患者报告结果测量信息系统 (PROMIS).
用于确定关联的多变量回归分析.

主要成果

在手术和非手术治疗决定之间没有发现显著的关联.
没有发现ADI与所选择的手术类型之间有显著的关联.
在任何随访期 (6周至1年) 中,ADI与PROMIS的身体功能,上肢,疼痛干扰,抑郁或焦虑没有显著的关联.

结论

通过ADI测量,社会剥夺与PHF患者的治疗策略或患者报告的结果没有显著关联.
目前以面积为基础的贫困指数可能无法完全捕捉社会贫困对PHF管理和结果的影响.
建议进行进一步的前性研究,以澄清社会剥夺在PHF护理中的作用.

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相关概念视频

Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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