儿童手术使用差异的演变超过二十年
Alex S Aguirre1, Ellen C Broekhuizen2, Daan A Pijs3
1Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA; Department of Pediatrics, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
Seizure
|February 4, 2026
概括
尽管在患有耐药的儿童中,手术的使用越来越多,但在2004年至2024年期间,基于保险,种族和种族的差异在获取机会方面已经扩大.
科学领域:
- 儿科神经学 儿科神经学
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
背景情况:
- 耐药性影响了大量儿童.
- 手术是耐火病例的关键治疗选择.
- 了解手术接入的趋势对于公平护理至关重要.
研究的目的:
- 从2004年到2024年,分析儿科患者患有耐药性的手术利用率的演变.
- 在过去二十年中,根据保险,种族和种族来确定和量化手术接入的差异.
主要方法:
- 对儿科健康信息系统数据库 (2004-2024) 的回顾性分析.
- 检查了手术率和手术的时间.
- 多变量分析评估了包括保险类型,种族和种族在内的预测因素.
主要成果:
- 在2004-2006年至2022-2024年期间,手术的发生率显著增加,从每100人/年的4.0个增加到15.8个.
- 差异扩大:私人保险的赔率比率 (1.50至1.75),白人与黑人患者 (1.35至2.39),非西班牙裔与西班牙裔患者 (1.08至1.23) 都增加了.
- 危险比率显示了这些差异的类似扩大趋势.
结论:
- 手术的使用在患有耐药的儿科患者中增加了.
- 在保险类型,种族和种族之间存在着显著的差异,并且正在扩大.
- 解决这些不平等问题对于改善所有患有的儿童的手术治疗机会至关重要.
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