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降低使用和转移的驱动器,与儿科胃口术同时进行基复合
Anoosha Moturu1, Melvin Coleman2, Mark E Cohen2
1American College of Surgeons, Division of Research and Optimal Patient Care, Chicago, IL, USA; Stanford Healthcare, Stanford, CA, USA.
Journal of pediatric surgery
|September 15, 2025
概括
在胃口管安置期间同时进行基复合的比率在十年内显著下降. 影响这一决定的非临床因素也下降,以及与手术相关的患者特征的变化.
科学领域:
- 儿科外科手术 儿科外科手术
- 胃肠病学 胃肠病学
- 医疗服务研究 医疗服务研究
背景情况:
- 在与胃口管 (GT) 放置同时执行抗逆流手术时,实践存在差异.
- 这项研究研究了影响同步基因组复制与单独GT决策的因素.
研究的目的:
- 检查与GT投资同时进行的基金投资率的趋势.
- 分析这种外科决定的变化来源 (患者,外科医生,医院).
- 为了识别随着时间的推移与基囊复合相关的患者特征.
主要方法:
- 儿科患者 (0-17岁) 的回顾性队列研究 (2013-2023年) 使用国家外科质量改善计划-儿科数据库.
- 差异组件分析以量化变化源.
- 多变量逻辑回归用于识别患者特征和基金复制之间的关联.
主要成果:
- 同时资金组合率从2014年的18.2%下降到2023年的2.2%.
- 非患者水平的变化从2018年的86%下降到2023年的49%.
- 胃肠道疾病仍然是基囊复合的预测因素,而神经功能障碍在2023年成为负面预测因素.
结论:
- 在过去的十年中,与GT安置同时进行基金复制的速度有所下降.
- 非临床因素对这一决定的影响也减少了.
- 患者因素的转变表明,在儿科外科实践中,临床判断正在演变.
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