健康的社会决定因素如何影响旋转手套修复后的结果
Branden Wright1, Jaynie X Criscione, Vineeth Romiyo
1From the Department of Orthopaedic Surgery, Cooper University Health Care, Camden, New Jersey (Dr. Wright, Ms. Criscione, Dr. Pohl, Dr. Curry, Mr. Gentile, Dr. Miller, Dr. Kleiner, Dr. Pollard, and Dr. Fedorka), and the Cooper Medical School of Rowan University, Camden, New Jersey (Dr. Romiyo, Dr. Hunter, Dr. Miller, Dr. Kleiner, Dr. Pollard, and Dr. Fedorka).
概括
低收入和社会贫困程度较高的患者在旋转手套修复 (RCR) 后经历了更糟糕的结果. 社会经济地位 (SES) 对RCR手术后患者报告的结果 (PROM) 有影响.
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
- 社会经济的不平等.
背景情况:
- 人们对骨科的兴趣越来越大,因为社会经济地位较低 (SES) 的人群的结果差异.
- 调查SES的影响,使用地理编码作为代理,在旋转手腕撕裂修复后的术后结果.
研究的目的:
- 确定社会经济地位 (SES) 对旋转手套修复 (RCR) 后患者报告的结果措施 (PROM) 的影响.
主要方法:
- 从2014年至2021年接受RCR的322名患者的回顾性审查.
- 按邮政编码的家庭收入中位数和社会贫困指数 (SDI) 进行分层.
- 在12个月后使用ANOVA和多重线性回归分析PROMs (ASES,SANE分数).
主要成果:
- 来自最低收入和最高SDI地区的患者显示ASES,SANE和满意度得分显著下降.
- 低收入和中等收入群体与ASES和SANE分数正相关.
- 高SDI四分位数,BMI,女性性别和吸烟与PROMs负相关.
结论:
- 最低收入和最高SDI的患者在RCR后报告了较低的PROM.
- 在RCR之后的PROM是多因素的,受SES和其他风险因素的影响.
- 强调需要对风险因素的认识,风险调整模型,以及在RCR结果中进行手术前咨询.
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