一项横断面研究,评估介入放射学服务在澳大利亚地区和偏远地区的作用。

IF 2.2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Warren Clements, Adil Zia, Kelvin Chang, Nicholas Brown, Jim Koukounaras, Tim Joseph, Matthew W Lukies, Tuan Phan, Gerard S Goh, Dinesh Varma, Heath Tomlinson, Mark Bolger, Helen Kavnoudias
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引用次数: 0

摘要

导言:据估计,8% 的住院病人需要接受介入放射学(IR)治疗。然而,人们对介入放射学对地区和偏远地区澳大利亚人(包括土著患者)的潜在影响知之甚少。本研究旨在评估介入放射科对地区/偏远地区患者进行的治疗,以预测未来介入放射科的劳动力和管理需求:方法:在维多利亚州一家三级医院进行单中心横断面研究。2022年1月1日至2024年1月1日期间,对接受过先进IR治疗的患者进行识别。不包括活检和插入引流管等基本程序。主要结果是对从地区或偏远家庭所在地转院接受治疗的患者进行红外治疗的类型和数量:在 3485 例先进红外介入治疗中,有 908 例(26.0%)来自地区或偏远地区的患者,其中女性占 36.5%,平均年龄 55.6 岁(SD 17.9)。1.4%的患者被认定为土著居民,这与维多利亚州土著居民的发病率1.0%相似。在这组患者中,有350人(38.5%)是日间手术、过夜择期入院或简单的住院手术,这些手术本可以在地区中心进行,其中包括1.1%的土著患者:结论:澳大利亚地区和偏远地区对红外服务的需求尚未得到满足,许多病人被转到我们的都市中心接受治疗,而这些治疗本可以在地区红外中心进行。这些数据对于推动政府和医院的规划(包括资本基础设施、劳动力建模以及未来将红外成像作为澳大利亚的一个新专科)非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A cross-sectional study assessing the role of interventional radiology services in regional and remote Australia

A cross-sectional study assessing the role of interventional radiology services in regional and remote Australia

Introduction

It is estimated that 8% of hospitalised patients require treatment from Interventional Radiology (IR). However, little is known about the potential impact of IR on regional and remote Australians, including Indigenous patients. This study aimed to assess treatments performed by IRs on regional/remote patients to predict future IR workforce and governance needs.

Methods

Single-centre cross-sectional study at a tertiary Victorian hospital. Patients were identified when they had an advanced IR treatment between 1 January 2022 and 2024. Basic procedures such as biopsy and drain insertion were not included. The primary outcome was the type and volume of IR treatments performed on patients who were transferred from a regional or remote home location for treatment.

Results

Of 3485 advanced IR interventions, 908 procedures (26.0%) from patients who lived in a regional or remote location were included with 36.5% female, of mean age 55.6 years (SD 17.9). 1.4% identified as Indigenous which is similar to the Indigenous population incidence in Victoria of 1.0%. Of this group, 350 (38.5%) were either a day procedure, overnight elective admission, or simple inpatient procedure which could have been performed in a regional centre, which included 1.1% Indigenous patients.

Conclusion

There is an unmet need for IR services in regional and remote Australia, with many patients being transferred to our metropolitan centre for treatment that could be performed in regional IR hubs. This data will be important to drive government and hospital planning including capital infrastructure, workforce modelling and future recognition of IR as a new specialty in Australia.

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来源期刊
CiteScore
3.30
自引率
6.20%
发文量
133
审稿时长
6-12 weeks
期刊介绍: Journal of Medical Imaging and Radiation Oncology (formerly Australasian Radiology) is the official journal of The Royal Australian and New Zealand College of Radiologists, publishing articles of scientific excellence in radiology and radiation oncology. Manuscripts are judged on the basis of their contribution of original data and ideas or interpretation. All articles are peer reviewed.
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