改善整体联合结果:对外科医生实施手术期间优化协议的调查
Fong H Nham1, Mouhanad M El-Othmani, Devan O Higginbotham
1From the Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI (Dr. Nham and Dr. Darwiche); the Department of Orthopedics, Warren Alpert Medical School, Brown University, Providence, RI (Dr. El-Othmani, Dr. Alsoof, and Dr. Cohen); the Department of Orthopaedic Surgery, UC Davis, Sacramento, CA (Dr. Higginbotham); and the Department of Orthopaedic Surgery, Cleveland Clinic, Weston, FL (Dr. Rueda).
关节整形外科医生对营养,功能和骨健康的术后优化方案的采用有所不同. 合规和物流等障碍阻碍了广泛实施,尽管有证据支持这些战略.
科学领域:
- 整形外科手术 整形外科手术
- 优化患者的优化
- 医疗保健服务研究 医疗服务研究
背景情况:
- 文献支持在关节塑性手术前对营养,功能和骨健康进行术后优化.
- 外科医生对这些优化努力的看法和实施仍未得到充分研究.
研究的目的:
- 评估整形关节整形外科医生对外科手术期间优化的当前看法.
- 确定营养,功能和骨健康优化协议的实施程度.
主要方法:
- 匿名地通过美国关节和膝关节外科医生协会数据库向关节整形外科医生分发了一个28个问题的调查.
- 分析了采用千平方统计方法的调查答案.
主要成果:
- 46%的外科医生报告了正式的营养方案,尽管14%的人怀疑益处. 目标集中在减少并发症和减肥.
- 75%的人缺乏功能状态优化协议;38%的人评估出行依赖.
- 只有13%的人经常使用DXA扫描来检查骨健康;87%的人不会推迟进行优化手术.
结论:
- 显著的障碍,包括合规性和后勤挑战,阻碍了基于证据的外术期优化实施.
- 了解外科医生的看法对于开发有效的未来优化协议至关重要.
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