Sociodemographic Factors Influencing Operative Time and Extent of Surgery in the Management of Cholesteatoma.

IF 2.6 3区 医学 Q1 OTORHINOLARYNGOLOGY
Connor S Dedeker, J Dylan Johnson, Anthony A Mangino, Matthew L Bush, Nathan D Cass
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引用次数: 0

Abstract

Objective: The purpose of this study was to evaluate how various sociodemographic factors such as rurality, age, race, body mass index, and sex affect the surgical management of cholesteatoma. Canal wall-down (CWD) tympanomastoidectomy and longer surgical times were used as potential proxies for increased severity of disease.

Study design: Retrospective.

Setting: A tertiary academic center.

Methods: All patients who underwent primary tympanomastoidectomy for cholesteatoma at the University of Kentucky from January 2008 through September 2023 were reviewed in this study. The rurality of the patient's home county was defined as metro, rural, or very rural as delineated by Rural-Urban Continuum Codes. Unadjusted and adjusted linear and logistic regression models were used to assess differences in the rate of CWD procedure and surgical times, respectively, across sociodemographic variables.

Results: A total of 604 patients were included in the study. Male sex and increased age were positively and inversely correlated with length of surgery, respectively, in the adjusted models. No significant difference was found in the rate of CWD procedures in rural or very rural patients compared to metro (P = .989). No significant difference was found in surgical time in rural or very rural patients compared to metro (P = .885).

Conclusion: Age and sex were significant predictors of surgical time, while no associations were found between any sociodemographic factor and type of tympanomastoidectomy. No significant association was found between rurality and the 2 proxies used. Our findings refute the thinking that patients requiring surgery for cholesteatoma from socioeconomically and educationally disadvantaged areas require longer or more involved surgeries.

影响胆脂瘤手术时间和手术范围的社会人口学因素。
目的:本研究的目的是评估各种社会人口因素如农村、年龄、种族、体重指数和性别对胆脂瘤手术治疗的影响。管壁下(CWD)鼓室乳突切除术和较长的手术时间被用作疾病严重程度增加的潜在替代指标。研究设计:回顾性。环境:高等教育学术中心。方法:本研究回顾了2008年1月至2023年9月在肯塔基大学接受原发性胆脂瘤鼓室乳突切除术的所有患者。患者所在县的农村被定义为都市、农村或非常农村,由农村-城市连续体代码划分。使用未调整和调整的线性和逻辑回归模型分别评估不同社会人口变量中CWD手术率和手术时间的差异。结果:共纳入604例患者。在调整后的模型中,男性和年龄分别与手术时间成正相关和负相关。农村或非常农村患者的CWD手术率与城市患者相比无显著差异(P = .989)。农村或非常农村患者的手术时间与城市患者相比无显著差异(P = .885)。结论:年龄和性别是手术时间的重要预测因素,而社会人口学因素与鼓室瘤切除类型无相关性。未发现乡村性与所使用的两个代理之间存在显著关联。我们的研究结果驳斥了来自社会经济和教育条件较差地区的胆脂瘤患者需要更长时间或更复杂的手术的想法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Otolaryngology- Head and Neck Surgery
Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学
CiteScore
6.70
自引率
2.90%
发文量
250
审稿时长
2-4 weeks
期刊介绍: Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.
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