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种族和种族预测在初级全关节整形术后短期但不是长期的并发症

Utkarsh Anil¹, Akram A Habibi¹, Jaclyn A Konopka¹

¹NYU Langone Health Department of Orthopedic Surgery New York, New York, USA.

Hip international : the journal of clinical and experimental research on hip pathology and therapy

|November 27, 2025

概括

全关节整形术 (THA) 的种族和民族差异表明,非白人患者的短期结果更差. 然而,一年后的修订率相似,在控制因素后,黑人患者的风险略低.

科学领域:

整形外科手术整形外科手术
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:

越来越多地认识到关节整形术 (THA) 的社会经济差异.
以前的研究往往缺乏足够的样本大小和对混变量的控制.
这项研究解决了对THA结果的种族/民族差异进行全面分析的需求.

研究的目的:

评估在不同种族和种族群体的关节整形术 (THA) 后的术后结果和长期存活率.
为了确定THA接受的不同患者群体中并发症和修订率的差异.
提供数据驱动的洞察力,了解骨科手术中的健康公平.

主要方法:

利用纽约全州规划和研究合作系统 (SPARCS) 数据库进行大规模的回顾性分析.
将患者分为白人,黑人,西班牙裔和亚洲裔队伍进行分层对比分析.
采用卡普兰-梅尔生存分析和多变量考克斯比例危险回归来评估无修订生存率和危险比率.

主要成果:

分析包括超过20万名白人患者和大量的黑人,西班牙裔和亚洲患者.
与白人患者相比,黑人和西班牙裔患者的并发症率更高,包括住院时间更长,贫血增加和感染率更高.
尽管短期差异,黑人患者的修订风险较低 (HR 0.90),整体10年修订率在各组中相似.

结论:

接受THA治疗的非白人患者面临的短期不良结果和并发症风险明显更高.
虽然短期并发症有所不同,但在一年内总体修订率在种族和族群之间是可比的.
在调整了混因素后,黑人患者在THA后显示出较低修订率的趋势.

关键词:

复杂性复杂性复杂性有火花的火花,就是火花.民族身份民族身份这是一个少数民族的少数民族.竞争竞争竞争竞争修订复习复习复习复习整体关节整形术

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