儿科尾炎临床途径对提供非手术治疗的影响
Margaret U Nguyen1, Audrey D Kamzan1, Alexandra Mv Klomhaus2
1Division of Hospital Medicine, Department of Pediatrics, Mattel Children's Hospital, University of California Los Angeles, Los Angeles, CA, USA.
The American surgeon
|October 9, 2025
概括
儿科尾炎的新临床途径增加了患者接受非手术治疗 (NOM) 的机会. 然而,根据种族和社会经济地位观察到NOM提供的差异,需要进一步调查.
科学领域:
- 儿科手术 儿科手术
- 临床途径 临床途径
- 健康 公平 卫生 公平
背景情况:
- 儿童尾炎的治疗包括手术管理 (OM) 或非手术管理 (NOM).
- 患者的风险因素影响OM和NOM之间的选择.
- 标准化的临床途径旨在优化治疗决策.
研究的目的:
- 评估标准化临床途径对提供儿科尾炎非手术治疗 (NOM) 的影响.
- 在路径实施之前和之后,识别NOM提供的人口差异.
主要方法:
- 小儿尾炎患者 (<18岁) 的单中心回顾性研究.
- 单变量回归分析,以检查人口统计和NOM提供之间的关联.
- NOM 的比较提供了临床前和临床后的途径实施.
主要成果:
- 患者在途径实施后更有可能获得NOM (OR=2.21).
- 西班牙裔/拉丁裔患者和那些处于较高社会脆弱性指数四分位数中的患者,获得NOM的几率降低了.
- 拥有私人保险的患者和女性患者 (当他们有资格获得NOM时) 获得NOM的几率增加.
结论:
- 临床途径提高了向合格的儿科尾炎患者提供NOM的可能性.
- 在NOM提供的服务中仍然存在显著的人口差异,这表明在护理方面存在潜在的不平等.
- 需要进一步的研究来了解和解决与临床途径相关的差异性护理的因素.
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