DCR: 在高收入的溃疡性结肠炎患者中修复手术更为普遍

2021-02-19 MedSci原创 MedSci原创

溃疡性结肠炎(UC)是一种影响结肠和直肠的慢性炎症性疾病。

      溃疡性结肠炎(UC)是一种影响结肠和直肠的慢性炎症性疾病。大多数患者接受药物治疗,但由于以下原因,可能需要进行结肠切除术,比如急性严重溃疡性结肠炎,慢性治疗难治性疾病,不典型增生或癌症的发生。最新数据显示,瑞典人群的结肠切除术五年累积风险为6%。为避免永久性造口,结肠切除术后应进行修复性手术,我们先前显示,只有三分之一的英国UC病人和不到一半的瑞典的UC病人在结肠切除术后接受了修复手术。因此,本项研究旨在探究结肠切除术后的社会经济状况与恢复性手术之间的关系。

 

 

      研究人员将所有1990年至2017年在15至69岁之间接受结肠切除术的瑞典溃疡性结肠炎患者纳入本项研究。主要观察结局是恢复性手术的概率,次要结局是重建失败(定义:重建后两年内需要重新回肠造口术或功能失调的造口术不可逆转)。为了计算结肠切除术后修复手术以及修复手术后失败的HRs,研究人员进行了多变量Cox回归模型,并按照医院数量,并按年龄分层。

 

 

      本项研究共有5969例溃疡性结肠炎患者接受了结肠切除术,其中2794例(46.8%)接受了修复手术。在结肠切除术时收入较高的患者中,修复手术更为常见(P=0.001),在北欧国家出生的人比在非北欧国家出生的移民少见,而在教育水平和公民地位上则没有关联。修复手术后的社会经济状况与失败风险之间没有关联。

 

 

      本项证实在高收入患者和非北欧国家出生的患者中,溃疡性结肠炎的修复手术似乎更为普遍,这说明高收入患者可以获得更好的医疗优势。

 

 

原始出处 :

Nordenvall. Et al. Restorative Surgery Is More Common in Ulcerative Colitis Patients With a High Income: A Population-Based Study. Diseases of the Colon & Rectum.2021.

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    2021-10-15 nymo
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    2021-02-19 敏敏

    学习了

    0

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    2021-02-19 ms2000002063028856

    学习

    0

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    2021-02-19 ms5000000696795367

    学习了

    0

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    2021-02-19 148ba795m17暂无昵称

    学习了

    0

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    2021-02-19 148ba795m17暂无昵称

    学习了

    0

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溃疡性结肠炎(UC)和克罗恩氏病【统称为炎性肠病(IBDs)】是全球性疾病,在发展中国家发病率正在上升,从而导致严重的发病率,健康状况护理成本,以及工作效率的降低。尽管昼夜节律如何影响炎症越来越明了,

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结肠炎是比较常见的一种疾病,也是一种病因复杂且容易反复发作的疾病,其可引起持续性腹泻、腹痛和直肠出血。患有炎症性肠病(IBD)的美国成年人数量已经从1999年的200万上升到2015年的300万。

Science Advances :重大进展!延边大学等多单位合作,发现结肠炎的新干预策略

溃疡性结肠炎和克罗恩氏病是人类炎性肠病(IBD)的最常见形式。尽管确切的病因仍然未知,但是IBD的发展被广泛认为是遗传和环境因素共同决定的结果。