Regional variations in chronic rhinosinusitis, 2003-2006.
Regional variations in chronic rhinosinusitis, 2003-2006.
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DOI：
10.1016/j.otohns.2009.05.021
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发表时间：
2009-09
影响因子：
3.4
通讯作者：
Murphy, Claire
中科院分区：
文献类型：
--
作者：
Smith, Wendy M.;Davidson, Terence M.;Murphy, Claire
1. 根据年龄、性别、种族、诊断服务和药物使用，描述慢性鼻窦炎患者就诊情况。2. 评估慢性鼻窦炎患者就诊的地区差异。来自两个国家门诊医疗接触数据库的横断面调查数据分析。不适用。分析了全国流动医疗调查和全国医院流动医疗调查四年（2003-2006年）的数据。使用国际疾病分类第九次修订版报告的诊断代码确定涉及慢性鼻窦炎的就诊。它们被加权以提供全国护理估计。考虑到调查设计的复杂性和多个时间段，使用SPSS 16.2复杂样本模块对数据进行Pearson卡方分析。慢性鼻窦炎就诊4617例，占就诊总数的1.95%。通过对该样本应用权重，这些访问代表了9120万次全国访问。非裔美国人在南非的访问比例显著较高（Pearson χ 2 =69.5， F=6.7, df=2.8, 2118, p<0.01）。东北地区提供或订购的诊断服务明显较少（卡方=64.8，F=4.0, df=4.3, 3247, p<0.01）。东北地区的医疗服务提供者在就诊时订购或续订超过3种药物的可能性也显著降低（卡方=54.0，F=3.1, df=2.6, 1930, p<0.05）。没有发现年龄、性别或环境类型的地区差异。慢性鼻窦炎在患者人口统计学、诊断和管理方面存在显著的地区差异。需要持续的研究来提高医生对这种疾病的认识、评估和治疗。
1. Characterize patient visits for chronic rhinosinusitis, based on age, gender, race, diagnostic services, and medication use. 2. Evaluate regional differences in patient visits for chronic rhinosinusitis. Analysis of cross-sectional survey data from two national databases of ambulatory medical encounters. Not applicable. Four years (2003–2006) of data from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey were analyzed. Visits involving chronic rhinosinusitis were identified using reported diagnostic codes from the International Classification of Disease, Ninth Revision. They were weighted to provide national estimates of care. Data were analyzed with Pearson chi squared using SPSS 16.2 Complex Samples Module, taking into account the complex survey design and multiple time periods. 4,617 patient visits for chronic rhinosinusitis were identified, accounting for 1.95% of all visits. By applying weights to this sample, these visits represent 91.2 million national visits. A significantly higher proportion of visits in the South involved African-Americans (Pearson chi squared=69.5, F=6.7, df=2.8, 2118, p<0.01). Significantly fewer diagnostic services were provided or ordered in the Northeast (chi squared=64.8, F=4.0, df=4.3, 3247, p<0.01). Providers in the Northeast were also significantly less likely to order or renew more than 3 medications at the visit (chi squared=54.0, F=3.1, df=2.6, 1930, p<0.05). No regional differences were seen for age, gender or setting type. Significant regional variations exist for chronic rhinosinusitis in patient demographics, diagnosis and management. Continuing research is needed to refine physician awareness, evaluation and treatment of this disorder.
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影响因子：
3.8
作者：
Birkmeyer, JD;Sharp, SM;Wennberg, JE
通讯作者：
Wennberg, JE
DOI：
10.1177/194589240301700106
发表时间：
2003-01-01
期刊：
AMERICAN JOURNAL OF RHINOLOGY
影响因子：
--
作者：
Bhattacharyya, N
通讯作者：
Bhattacharyya, N
影响因子：
1.7
作者：
Ferguson, BJ;Barnes, L;Yonkers, AJ
通讯作者：
Yonkers, AJ
影响因子：
14.2
作者：
Ray, NF;Baraniuk, JN;Pung, YH
通讯作者：
Pung, YH
DOI：
10.2310/7070.2001.20813
发表时间：
2001-04-01
期刊：
JOURNAL OF OTOLARYNGOLOGY
影响因子：
--
作者：
Durr, DG;Desrosiers, MY;Dassa, C
通讯作者：
Dassa, C