医生年龄和患者结果:系统性审查

Kiyan Heybati¹, Natalie Jacox², Raj Satkunasivam³

¹Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Journal of general internal medicine

|February 25, 2026

概括

医生年龄显示出混合的患者结果关联. 年龄较大的外科医生可能与较低的死亡率有关,但研究结果各不相同,这凸显了对劳动力规划研究的需要.

科学领域:

医学研究医学研究
医疗保健工作人员研究研究.
分析患者的治疗结果.

背景情况:

全球人口正在老龄化,医疗保健需求不断增加,医疗专业人员承受着压力.
对医疗保健提供者的老龄化如何影响患者的结果越来越感兴趣,但缺乏全面的数据综合.
这项研究解决了对医生年龄和患者结果的综合证据的需求.

研究的目的:

系统地审查和评估医生年龄和医疗和外科护理患者结果之间的关联.
综合现有证据,了解医疗保健提供者的年龄如何影响患者死亡率,再入院,并发症和停留时间.
识别有关医生年龄和患者结果的文献上的差距.

主要方法:

进行了一项系统审查,注册在PROSPERO (CRD42024503166) 上.
在MEDLINE和EMBASE数据库中进行了搜索,直到2024年1月16日,并通过手动搜索来补充.
包括的研究是对成年人 (≥18岁) 的随机对照试验或观察性研究,检查医生的年龄和患者的结果;由于数据异质性,元分析是不可行的.

主要成果:

该审查包括17项观察性研究 (n=7,311,162),主要关注外科医生的年龄 (14项研究).
老年外科医生年龄通常与较低的患者死亡率相关,尽管手术死亡率差异不一致.
医疗护理的发现有限,但年轻的医生与较低的死亡率有关;年轻的外科医生在一些研究中显示出更高的并发症率.

结论:

医生年龄和患者结果之间的关联是混合的,年龄切断和数据报告的变化相当大.
结果的解释受到异质性和对外科治疗的强烈关注的限制,对医疗保健的数据较少.
进一步的研究对于医疗人员规划和政策的制定至关重要,特别是考虑到医疗保健提供者的老龄化人口统计数据.

关键词:

不良事件不良事件不良事件健康结果的健康结果.死亡率死亡率医生年龄医生年龄外科医生年龄外科医生年龄系统性审查系统性审查

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