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在女性医疗保险受益者中使用化疗激素治疗过度活跃的膀
Nancy E Ringel1, Charles D Scales2, Cassie B Ford3
1Department of Obstetrics, Gynecology, & Reproductive Sciences, Division of Urogynecology & Reconstructive Pelvic Surgery, Yale School of Medicine, New Haven, CT.
Urogynecology (Philadelphia, Pa.)
|October 15, 2025
概括
有效的过度活性膀 (OAB) 治疗,如内化疗,未得到充分利用,特别是在种族和少数民族妇女中. 需要进一步的研究,以解决这种OAB治疗的接入障碍.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 过度活性膀 (OAB) 影响了大量女性,但有效的治疗方法仍未得到充分利用.
- 在OAB中,intradetrusor化疗是有效的治疗选择.
- 在获得OAB护理,特别是先进治疗的机会上的差异令人担忧.
研究的目的:
- 在女性医疗保险受益者中调查用于OAB的intradetrusor化疗的使用情况.
- 为了比较不同种族和种族群体的治疗率.
- 为了确定与接受这种OAB治疗相关的因素.
主要方法:
- 使用Medicare数据 (2012-2020年) 对65岁以上的OAB妇女进行了回顾性队列研究.
- 在OAB诊断后5年内,分析了积的intradetrusor化学化发病率.
- 考克斯回归以确定接受治疗的预测因素,并为混因素进行调整.
主要成果:
- 在OAB诊断后5年内,内突变体内化学化 (1.4%) 的整体利用率较低.
- 与白人女性相比,亚裔 (0.6%),黑人 (0.7%),西班牙裔 (0.7%) 和其他 (0.9%) 种族/民族群体的治疗率明显较低.
- 调整后的分析显示,非白人和西班牙裔女性接受治疗的可能性较低 (aHRs从0.51到0.62).
结论:
- 在全国范围内,intradetrusor化学化利用率很低.
- 存在种族和民族差异,非白人女性接受这种OAB治疗的频率较低.
- 进一步调查患者障碍和改善获得OAB护理的干预措施是有必要的.
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