弥合差距:在整形和重建外科手术的十年随机对照试验中评估健康的社会决定因素的报告
Daniel Y Kwon1, Henry Diamond-Pott1, Katherine G Stark1
1From the Division of Plastic and Maxillofacial Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY.
Annals of plastic surgery
|March 16, 2026
概括
在整形手术试验中,健康的社会决定因素 (SDOH) 报告不足. 在未来的研究中对SDOH进行标准化报告对于公平的外科护理和可概括的结果至关重要.
科学领域:
- 整形和重建手术 整形和重建手术
- 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:
- 健康的社会决定因素 (SDOH) 显著影响患者在手术中的结果.
- 之前的研究表明,在外科试验中,了解SDOH报告至关重要.
研究的目的:
- 在过去十年中,评估了头面部,乳房和手部外科手术中随机对照试验 (RCT) 中SDOH报告的频率和模式.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 搜索了PubMed和SCOPUS在2014-2024年期间发表的涉及成年外科参与者的RCT.
- 分析了手稿和表格中SDOH变量报告的频率,使用统计测试来确定显著性.
主要成果:
- 年龄,性别/性别,BMI/体重和吸烟是最常见的SDOH变量.
- 教育,保险,社会经济状况,婚姻状况和住房是最不经常报告的.
- SDOH变量在表1中报道的可能性较小,并且与出版年或期刊影响因子没有相关性.
结论:
- 整形和重建手术RCT显示,关键的SDOH的持续报告不足.
- 在未来的RCT中将SDOH变量纳入标准化是必不可少的.
- 这将提高发现的概括性,并促进更公平的外科护理.
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