多学科手术强迫症疾病实践的管理
Jonathan H Bentley1, Tommy B Liu1, Ajay D Gandhi1
1Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Neurosurgery
|October 13, 2025
概括
对强迫症 (OCD) 的外科选择进行评估是复杂的. 主要障碍包括保险拒绝和长途旅行,突出需要有效的查和多学科的外科手术强迫症服务.
科学领域:
- 神经外科 神经外科
- 精神病学是一个精神病学.
- 医疗信息学 医疗信息学
背景情况:
- 对患有强迫症 (OCD) 患者进行手术的评估存在重大挑战.
- 这些挑战源于复杂的精神病史,分散的治疗记录和对外科手术干预的有限认识.
研究的目的:
- 分析手术性强迫症服务的手术前评估管道.
- 确定一个高效的多学科的外科强迫症治疗方案的关键方面.
主要方法:
- 从2018年1月到2023年12月对被评估患有手术性强迫症的患者进行横截面研究.
- 对临床记录的回顾性审查,以跟踪患者的进展,并确定消耗原因.
- 分析保险批准历史和患者的地理分布.
主要成果:
- 评估了102名患者;31人接受了手术 (23人进行深度脑刺激 (DBS),8人进行激光间歇热疗法 (LITT) 囊切除).
- 43%的患者最初被拒绝保险;DBS和LITT之间没有差异.
- 患者平均旅行730英里,LITT患者比DBS患者 (590英里) 远得多 (1100英里).
结论:
- 有效的查机制对于外科强迫症患者的评估至关重要.
- 低的提供者转诊率,高的保险拒绝率和长途旅行是强迫症患者获得外科治疗的主要障碍.
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