不适当的成像请求中的性别差异:医学成像决策和支持 (MIDAS) 研究的见解
Stijntje Willemijn Dijk1,2,3, Claudia Wollny4, Thomas Kroencke4,5
1Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands. s.dijk@erasmusmc.nl.
European radiology
|November 6, 2025
概括
女性比男性更有可能收到不适当的诊断成像请求. 这项研究突出了医学成像中的潜在基于性别的差异,强调了公平实践的必要性.
科学领域:
- 医学成像和诊断 医学成像和诊断
- 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:
- 不适当的诊断成像导致辐射暴露增加,诊断延迟,医疗保健成本增加.
- 虽然诊断成像适当性的多因素,基于性别的差异是不充分研究的.
- 了解这些差异对于改善患者的治疗结果和资源配置至关重要.
研究的目的:
- 调查是否不适当的诊断成像请求在女性和男性患者之间有所不同.
- 识别在诊断成像的使用中可能存在的基于性别的差异.
- 为制定更公平的成像实践策略提供信息.
主要方法:
- 分析多中心MIDAS研究的基线数据.
- 使用ESR iGuide临床决策支持工具评估了61,220个成像请求.
- 使用基平方测试和几率比率,比较性别之间的不适当请求比例.
主要成果:
- 与男性 (6.08%) 相比,女性 (7.32%) 的不适当成像请求比例显著更高.
- 对于女性来说,不适当请求的几率更高 (OR 1.22,99% CI: 1.12-1.33).
- 在磁共振成像和25-65岁患者的子组中观察到显著差异.
结论:
- 女性比男性更有可能收到不适当的诊断成像请求.
- 这些发现表明,在诊断成像方面的临床决策中,存在潜在的性别差异.
- 为了公平的成像实践,需要进一步的研究和性别和性别敏感的方法.
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