根据医院病例数量和设施类型的下垂体腺瘤管理和结果
Khodayar Goshtasbi1, Lauren Michelle1, Sina J Torabi1
1Department of Otolaryngology-Head and Neck Surgery University of California, Irvine Orange California USA.
World journal of otorhinolaryngology - head and neck surgery
|September 11, 2025
概括
医疗机构的治疗量显著影响着垂体腺瘤 (PA) 患者的治疗结果. 与低体积设施相比,高体积中心可以提高生存率并降低死亡风险.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 垂体腺瘤 (PAs) 是常见的瘤,需要专门的治疗.
- 设施的特点,包括患者数量,可能会影响治疗模式和患者的治疗结果.
- 了解这些因素对于优化PA患者的护理提供至关重要.
研究的目的:
- 评估医疗机构的体积和类型对患有垂体腺瘤的患者的治疗和治疗结果的影响.
- 为了确定在设施中患者病例数量较高是否与患者存活率改善和死亡率降低相关.
主要方法:
- 国家癌症数据库 (2004-2016) 的回顾性分析.
- 包括89,863名正在接受最终治疗的脑垂体腺瘤患者.
- 根据每年患者数量分类的设施:低 (<10),中等 (10-30),高 (31-105).
主要成果:
- 增加设施容量与更高的手术治疗率,更低的放射治疗率和更短的住院时间有关.
- 更高的设施体积和学术中心与改善的整体存活率相关 (p < 0.001).
- 在中等和低容量设施的治疗独立增加了所有原因死亡的风险 (p < 0.001).
结论:
- 设施体积,而不是设施类型,是脑垂体腺瘤患者结果的重要决定因素.
- 高容量设施与更好的整体存活率和降低死亡风险有关.
- 集中在高人数中心的垂体腺瘤护理可能会改善患者的治疗结果.
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