Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Andrew Zakhari, Dong Bach Nguyen, Jessica Papillon Smith, Fady W Mansour, Srinivasan Krishnamurthy
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引用次数: 0

Abstract

We aimed to determine the surgical output for patients from Nunavik undergoing transfer to an urban centre for hysteroscopy, and associated costs. We performed a retrospective chart review of all patients from the 14 villages of Nunavik transferred for hysteroscopic surgery from 2016 to 2021. Diagnoses, surgical intervention, and nature of the procedure were all extracted from the patient charts, and costs/length of stay obtained from logisticians and administrators servicing the Nunavik region. Over a 5-year period, 22 patients were transferred from Nunavik for hysteroscopy, of which all were elective save one. The most common diagnosis was endometrial or cervical polyp and the most common procedure was diagnostic hysteroscopy. The average cost for patient transfer and lodging to undergo hysteroscopy in Montreal ranged from $6,000 to $15,000 CDN. On average, 4-5 patient transfers occur annually for hysteroscopy, most commonly for management of endometrial polyps, at a cost of $6,000 to $15,000 CDN, suggesting the need to investigate local capacity building in Nunavik and assess cost-effectiveness.

魁北克北部原住民社区对宫腔镜检查的需求:一项回顾性队列研究。
我们旨在确定从努纳维克转到城市中心接受宫腔镜手术的患者的手术量和相关费用。我们对2016年至2021年期间努纳维克14个村庄所有转院接受宫腔镜手术的患者进行了回顾性病历审查。诊断、手术干预和手术性质均从患者病历中提取,费用/住院时间则从努纳维克地区的后勤人员和管理人员处获得。5 年间,共有 22 名患者从努纳维克转院接受宫腔镜检查,其中除一名患者外,其余均为择期手术。最常见的诊断是子宫内膜或宫颈息肉,最常见的手术是诊断性宫腔镜检查。在蒙特利尔接受宫腔镜检查的病人转院和住宿的平均费用为 6,000 至 15,000 加元不等。平均而言,每年有 4-5 名患者转院接受宫腔镜检查,最常见的是子宫内膜息肉的治疗,费用为 6,000 至 15,000 加元,这表明有必要调查努纳维克当地的能力建设情况并评估成本效益。
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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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