外科医生与患者性别不一致对腹股沟疝修补术效果的影响。

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2024-12-01 Epub Date: 2024-09-23 DOI:10.1007/s10029-024-03100-1

Claiborne J Lucas, M Wes Love, Jeremy A Warren, William S Cobb, Alfredo M Carbonell

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引用次数: 0

摘要

目的：医患关系和谐是医患关系的一个重要方面，可能与医疗保健差异有关。本研究旨在确定外科医生和患者之间的性别不一致是否会影响手术效果：对从腹部核心健康质量合作组织（ACHQC）登记处获得的前瞻性数据进行了回顾性分析，研究对象是所有接受腹股沟疝修补术的患者。记录了手术部位发生率（SSO）、手术部位感染率（SSI）、需要手术干预的手术部位发生率（SSOPI）和 30 天再入院率：由男性外科医生进行手术的女性患者与由男性外科医生进行手术的男性患者相比，发生 SSI/SSO（OR 1.099，95% CI 1.022-1.181）、SSOPI（OR 1.156，95% CI 1.031-1.297）和再入院（OR 1.259，95% CI 1.128-1.406）的几率均有所增加。由女性外科医生进行手术时，各组患者的不良预后无明显差异：结论：当男性外科医生为女性患者进行手术时，外科医生和患者之间的性别不一致与不良后果几率增加有关。

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Effect of surgeon-patient sex discordance on ventral hernia repair outcomes.

Purpose: Concordance is an important dimension of the physician-patient relationship that may be linked to health care disparities. The purpose of this study was to determine if sex discordance between surgeon and patient impacts surgical outcomes.

Methods: A retrospective review of prospectively collected data obtained from the Abdominal Core Health Quality Collaborative (ACHQC) registry was performed on all patients who underwent ventral hernia repair. Surgical site occurrences (SSO), surgical site infections (SSI), surgical site occurrence requiring procedural intervention (SSOPI) and 30-day readmission rates were recorded.

Results: Female patients operated on by male surgeons have increased odds of having an SSI/SSO (OR 1.099, 95% CI 1.022-1.181), SSOPI (OR 1.156, 95% CI 1.031-1.297), and readmission (OR 1.259, 95% CI 1.128-1.406) when compared to male patients operated on by male surgeons. There was no significant difference in adverse outcomes between patient groups when operated on by female surgeons.

Conclusion: Sex discordance between surgeon and patient is associated with increased odds adverse outcomes when male surgeons operate on female patients.

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.