患者与内镜师之间的性别不一致以及结肠镜检查结果:数据库分析
F Theunissen1, D M de Jong1, H Tejeda Mora2
1Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
在内镜检查中,性别对结肠直肠癌查结肠镜检查结果的影响微不足道,包括检测率和患者的不适. 这一发现表明,患者-提供者性别一致性不是结肠镜质量的关键因素.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健中的性别差异可能会影响患者的治疗结果.
- 以前的研究表明,某些专业的男性医生治疗的女性患者的结果更差.
- 患者-内镜师性别一致性对结肠镜检查结果的影响仍未得到充分研究.
研究的目的:
- 为了研究患者-内镜师性别一致性和结肠镜检查结果之间的关联.
- 分析性别差异对结肠镜检查的关键性能指标的影响.
- 评估患者报告的不适与内镜师的性别有关.
主要方法:
- 来自荷兰17家医院 (2016-2020年) 的结肠直肠癌 (CRC) 查结肠镜的大量数据集的分析.
- 主要结局包括腔输管率 (CIR),腺瘤检测率 (ADR),聚检测率 (PDR) 和患者不适 (格洛斯特舒适度表).
- 使用后勤混合效应模型来评估性别一致/不一致的影响,控制共变量.
主要成果:
- 总共分析了由115名内镜师进行的44944次结肠镜检查.
- 根据患者-内镜师的性别一致性,没有观察到管输管率,腺瘤检测率或聚检测率的显著差异.
- 女性内镜科医生报告的主观不适得分略高,但整体影响最小.
结论:
- 内镜师的性别对CRC查结肠镜检查的技术和诊断质量影响微乎其微.
- 虽然患者舒适度存在小差异,但它们不会显著改变结肠镜检查结果.
- 这些发现表明,患者-内镜师的性别一致性不是影响结肠镜疗效的关键因素.
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