少数群体不太可能接受手术固定或为旋转手套疾病接受皮质素注射:一项大型数据库研究
Kelsey Loyd1, Dylan N Greif1, Christopher M Dussik1
1University of Rochester Department of Orthopaedic Surgery, University of Rochester School of Medicine, Rochester, NY.
Journal of shoulder and elbow surgery
|February 20, 2026
概括
与非西班牙裔白人患者相比,转子撕裂 (RCT) 的少数民族患者接受皮质醇注射或手术修复的可能性明显低. 本研究突出了非手术性和手术性管理RCT的医疗保健潜在差异.
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:
- 旋转手套撕裂 (RCT) 经常需要在保守治疗失败后进行手术干预.
- 现有的文献表明RCT手术管理中的种族差异.
- 有限的研究解决了非手术治疗的差异,例如用于RCT的皮质醇注射.
研究的目的:
- 调查少数群体是否不太可能在非手术性旋转手套疾病管理中接受皮质注射.
- 为了确定少数民族患者与非西班牙裔白人患者相比,对于旋转部撕裂的手术修复的可能性较低.
主要方法:
- 一项使用TrinetX数据库 (2010-2024) 的回顾性队列研究确定了1,406,127名旋转手套疾病患者.
- 患者按种族/民族分层,以比较皮质素注射率和旋转手套修复率.
- 对人口统计学变量和并发症进行控制的倾向性得分匹配;统计学显著性设定为p < 0.005.5.
主要成果:
- 与非西班牙裔白人患者相比,少数民族患者接受皮质子注射的可能性降低了24%,接受手术修复的可能性降低了26%.
- 特定的少数群体,包括非洲裔美国人和亚洲/太平洋岛民,对注射和手术修复的几率显著降低.
- 这些差异持续不论是潜在的并发症.
结论:
- 少数群体患者面临接受皮质子注射或RCT手术管理的可能性降低,独立于并发症.
- 需要进一步的研究来了解这些医疗保健差异的根本原因.
- 解决这些不平等问题对于在旋转手套疾病管理中提供公平的患者护理至关重要.
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