在阿拉巴马州 (美国) 的儿科石手术后影响术后坚持的因素:单一机构的回顾性分析
Brenton T Bicknell1, Joseph J Crivelli2, Timothy Boswell2
1UAB Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Journal of endourology
|September 10, 2025
概括
患有私人保险和较低社区贫困 (区域贫困指数) 的儿科石患者表现出更好的随访坚持. 临床试验招生没有影响坚持率.
科学领域:
- 儿科脏病学 儿科脏病学
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 儿童结石疾病的发病率正在增加,复发率很高.
- 持续的术后随访对于治疗儿科结石至关重要.
- 健康的社会决定因素显著影响患者遵守医疗建议.
研究的目的:
- 检查与儿科石手术后后续遵守相关的社会经济因素.
- 评估临床试验招生对术后护理的坚持的影响.
- 为了确定儿童结石患者的一致随访的障碍.
主要方法:
- 对120名接受结石手术 (2019-2023) 的儿科患者 (<18岁) 的回顾性审查.
- 对人口统计数据,地区贫困指数 (ADI) 评分和16周内随访出席率的分析.
- 使用千平方和独立的t测试来评估变量关联的统计分析.
主要成果:
- 随访期间,患者的坚持率为55.0% (66/120名患者).
- 与私人保险 (p=0.03) 和较低的ADI分数 (较少的剥夺,p<0.01) 相关的遵守率更高.
- 之前的石头手术与较低的坚持相关 (p<0.01);临床试验招生没有显著的影响 (p=0.98).
结论:
- 社会经济因素,特别是私人保险和较低社区贫困,是儿童石患者随访遵守的关键预测因素.
- 参与临床试验似乎不会影响对术后护理的坚持.
- 需要有针对性的干预措施来改善高风险儿科患者的随访遵守.
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