在头部和部癌症中进行跨口腔机器人手术的地理和机构模式
Daniel Gilmore1, Lauren R Michelle2, Xiaodan Hu1
1The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, USA.
Head & neck
|January 20, 2026
概括
过口腔机器人手术 (TORS) 用于口腔癌主要在教学医院提供,并集中在少数市场. 流量较大的地区的停留时间较短,这表明访问与集中化之间的权衡.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 透口机器人手术 (TORS) 越来越多地用于口腔状细胞癌 (OPSCC).
- 对于医疗保险受益人来说,TORS可用性的国家模式仍未得到充分探索.
- 描述TORS分布对于理解访问和利用至关重要.
研究的目的:
- 为医疗保险受益者定义TORS可用性的国家模式,其中包括OPSCC.
- 分析TORS的医院类型,地理分布和市场度.
- 评估与TORS体积和患者结果相关的因素.
主要方法:
- 使用医疗保险住院患者索赔 (2017-2023) 的回顾性横截面研究.
- 使用ICD-10代码识别OPSCC和TORS;将索赔与医院特征联系起来.
- 分析了地理度 (HHI) 并使用回归来评估住院因素和住院时间 (LOS).
主要成果:
- 在161家医院中发现了2499例TORS程序,86.2%在教学医院.
- TORS的使用在地理上是分散的,但在当地集中,在许多地区市场度高 (HHI).
- 较高的教学强度与增加的TORS使用相关;在大量市场中观察到较短的LOS.
结论:
- 在医疗保险受益者中,OPSCC的TORS集中在教学医院和大批量市场.
- 人口较多的地区的逗留时间较短,这表明集中化可能带来好处.
- 调查结果强调了集中访问和TORS更广泛的可用性之间的复杂相互作用.
相关概念视频
Arteries of the Head and Neck
3.1K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
3.1K
Veins of Head and Neck
5.3K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
5.3K
Selected Data About Geographic Locations
262
Geographic Information Systems (GIS) rely on two core types of data: spatial data and attribute data.Spatial DataSpatial data defines the physical location of features within a coordinate system, typically expressed in terms of latitude and longitude. It provides precise positioning for elements like roads, rivers, or buildings.Attribute DataAttribute data complements spatial data by adding descriptive information about these features. For example, a road's spatial data includes its start and...
262
Muscles of the Anterior Neck
4.6K
The anterior neck muscles are the group of muscles covering the front part of the neck. These muscles are classified into three subgroups. The first one is the superficial muscles, the most visible muscles in the front of the neck. It includes the platysma and sternocleidomastoid. The second group is the suprahyoid muscles, located above the hyoid bone. This group comprises the digastric, mylohyoid, geniohyoid, and stylohyoid. Lastly, the infrahyoid muscles are found below the hyoid bone and...
4.6K
Muscles that Move the Head
5.7K
The muscles that move the head are a dynamic and complex group of structures that work together to facilitate a wide range of head movements, including rotation, flexion, extension, and lateral bending.
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
5.7K
Fixed Action Patterns
17.5K
A fixed action pattern (FAP) is a specific, hard-wired sequence of behaviors that occurs in response to an external stimulus, called a sign stimulus. The behavior is “fixed” because it is essentially unchangeable—proceeding similarly across individuals of a species every time it occurs.
17.5K


