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在西班牙裔和非西班牙裔白人患者之间,腹手术后的长期死亡率的差异
Jaewhan Kim1, Joshua Kelley2, Emeka Elvis Duru3
1Department of Physical Therapy, University of Utah, 520 Wakara Way, Salt Lake City, UT, 84108, USA. jaewhan.kim@utah.edu.
Journal of racial and ethnic health disparities
|September 27, 2025
概括
与非西班牙裔白人患者相比,接受减肥手术的西班牙裔患者面临更高的长期死亡风险. 需要进一步的研究来理解这些结果的差异.
科学领域:
- 腹部外科手术的结果
- 健康差距 研究 研究 研究 研究
- 长期死亡率研究 长期死亡率研究
背景情况:
- 有限的数据存在于减肥手术后的长期死亡率差异.
- 之前的研究集中在短期死亡率上,而长期的结果未被描述.
- 了解腹腔外科手术后死亡率的种族差异对于公平护理至关重要.
研究的目的:
- 为了比较西班牙裔和非西班牙裔白人患者的长期死亡率,在腹部外科手术后.
- 分析所有原因,外部原因和非外部原因的死亡率差异.
- 为了调查低体重手术后的长期存活率的潜在差异.
主要方法:
- 在1979年至2018年期间,对19943名接受减肥手术的患者进行了分析.
- 西班牙裔和非西班牙裔白人患者群体之间的长期死亡率 (1979-2020年) 的比较.
- 利用考克斯回归来确定与长期死亡率相关的因素.
主要成果:
- 西班牙裔患者 (19%的队列) 呈现较高的全因死亡率 (14.6%对12.9%).
- 在西班牙裔患者中观察到非外部 (11.2%对10.4%) 和外部死亡原因 (3.1%对2.1%) 的风险增加.
- 考克斯回归显示西班牙裔患者全因死亡风险高39% (HR 1.39).
结论:
- 在减肥手术后,西班牙裔和非西班牙裔白人患者之间存在长期死亡率的显著差异.
- 这些观察到的死亡率差异的根本原因需要进一步调查.
- 需要进行额外的研究,以阐明导致结果变化的因素.
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