ISSAS 2016：影响脊髓型颈椎病患者手术方式的因素调查

2016-04-08 Mechront 译 MedSci原创

2016年国际脊柱外科前沿研究学会(ISSAS)年会称，脊髓型颈椎病(CSM) 患者中女性、私人保险情况、入院非创伤中心是进行单纯前路手术的预测因素。Shearwood McClelland III在年会上说，种族也会影响CSM患者的手术方式。他说，“近期的研究表明，CSM患者进行单纯的后路手术，会增加死亡率。我们的研究发现，非白种人死亡率会更高。本研究的目的是希望能为这方面的研究提供更多的动力。

2016年国际脊柱外科前沿研究学会(ISSAS)年会称，脊髓型颈椎病(CSM) 患者中女性、私人保险情况、入院非创伤中心是进行单纯前路手术的预测因素。

Shearwood McClelland III在年会上说，种族也会影响CSM患者的手术方式。他说，“近期的研究表明，CSM患者进行单纯的后路手术，会增加死亡率。我们的研究发现，非白种人死亡率会更高。本研究的目的是希望能为这方面的研究提供更多的动力。”

他指出，进行单纯后路融合术的CSM患者，其死亡风险是前路手术患者的2倍。

McClelland和同事对全国住院病人样本(NIS)数据库进行了分析，纳入了2001-2010年间220,746名CSM患者，包括行颈前路椎间盘切除融合术、后路融合术和C2及以下脊髓减压的患者。患者的平均年龄54岁，大多数患者进行的是单纯前路手术。此外，NIS还为调查人员提供了患者的性别、种族、保险状态等信息。

McClelland说：“具有私人保险的CSM患者，19%更可能接受前路手术，17%不太可能接受后路手术。”

他说：“多变量分析显示了几个导致前路手术可能性降低的因素：较大的年龄、种族（黑人、西班牙裔、亚洲太平洋岛民）、保险状态（医疗补助保险、自费和不收费），此外入院于创伤中心，以及与法院或执法机构挂钩。”

McClelland也指出了研究的局限性，比如NIS数据库编码的准确性、无法评估患者术前疼痛评分和影像学数据等。

原始出处：

McClelland S 3rd, et al. Paper #129. Presented at: International Society for the Advancement of Spine Surgery Annual Meeting; April 6-8, 2016; Las Vegas.

Patients’ insurance type, gender, race cited as predictors of surgical approach for CSM.Healio.April 7, 2016

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2016-09-28 jiyangfei

#SAS#

74 0
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2016-04-24 dinorsor532

#手术方式#

77 0
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2016-09-01 ylzr123

好文，值得学习，赞！

90 0
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2016-04-14 李继凯

高大上的文章

133 0
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2016-04-14 李继凯

值得学习

134 0
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2016-04-10 w984450tii

#脊髓型颈椎病#

87 0
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2016-04-08 1de3b290m83(暂无匿称)

热门

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