Chronic rhinosinusitis, race, and ethnicity.
Chronic rhinosinusitis, race, and ethnicity.
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DOI：
10.2500/ajra.2012.26.3741
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发表时间：
2012-03
影响因子：
2.6
通讯作者：
Smith TL
中科院分区：
文献类型：
--
作者：
Soler ZM;Mace JC;Litvack JR;Smith TL
关于慢性鼻窦炎（CRS）在美国（US）种族和少数民族中的流行病学知之甚少。全面评估各种治疗环境中慢性鼻窦炎（CRS）的当前患病率，以确定种族和民族人群之间在医疗保健获取和利用方面可能存在的差异。提取NHIS、NAMCS和NHAMCS数据库登记，以确定CRS在人种/种族人群中的全国患病率和门诊护理环境中的资源利用。系统性文献综述确定了报告选择内窥镜鼻窦手术（ESS）的少数患者治疗结局的研究。使用接受手术治疗的多机构患者队列补充数据。全国调查数据表明，CRS是美国所有主要种族/族裔群体的重要健康状况，占办公室，急诊和门诊就诊的相当大一部分。不同种族/族裔群体之间的保险状况，缺勤率和资源利用率的差异。尽管其患病率，很少有已发表的研究包括关于少数CRS患者的信息。大多数（90%）队列研究未提供ESS结局的人种/种族详情。前瞻性队列分析表明，少数手术患者仅占18%，而全国人口普查估计值为35%。慢性鼻窦炎是美国所有主要种族/民族的重要健康状况。在CRS健康状况和医疗保健利用方面，种族和民族类别之间可能存在显着差异。鉴于美国目前的人口结构变化，应特别注意在种族和民族人口的背景下理解CRS。
Little is known regarding the epidemiology of chronic rhinosinusitis (CRS) in racial and ethnic minorities in the United States(US). Comprehensively evaluate the current prevalence of chronic rhinosinusitis (CRS) across various treatment settings in order to identify possible disparities in health care access and utilization between racial and ethnic populations. The NHIS, NAMCS, and NHAMCS database registries were extracted to identify the national prevalence of CRS in race/ethnic populations and resource utilization in ambulatory care settings. Systematic literature review identified studies reporting treatment outcomes in minority patients electing endoscopic sinus surgery(ESS). Data was supplemented using a multi-institutional cohort of patients undergoing surgical treatment. National survey data suggests CRS is a significant health condition for all major race/ethnic groups in the US, accounting for a sizable portion of office, emergency, and outpatient visits. Differences in insurance status, work absenteeism, and resource utilization were found between race/ethnic groups. Despite its prevalence, few published studies include information regarding minority patients with CRS. Most(90%) cohort studies did not provide details of race/ethnicity for ESS outcomes. Prospective cohort analysis demonstrated that minority surgical patients accounted for only 18%, as compared to national census estimates(35%). Chronic rhinosinusitis is an important health condition for all major race/ethnic groups in the US. Significant differences may exist across racial and ethnic categories with regard to CRS health status and healthcare utilization. Given current demographic shifts in the US, specific attention should be given to understanding CRS within the context of racial and ethnic populations.
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影响因子：
2.6
作者：
GLIKLICH, RE;METSON, R
通讯作者：
METSON, R
DOI：
10.2500/105065896781794914
发表时间：
1996-05-01
期刊：
AMERICAN JOURNAL OF RHINOLOGY
影响因子：
--
作者：
Conte, LJ;Holzberg, N
通讯作者：
Holzberg, N
影响因子：
3.4
作者：
Tabaee, Abtin;Hsu, Amy K.;Close, Lanny Garth
通讯作者：
Close, Lanny Garth
影响因子：
5.5
作者：
Kramer MR;Hogue CR
通讯作者：
Hogue CR
影响因子：
3.4
作者：
Smith, Wendy M.;Davidson, Terence M.;Murphy, Claire
通讯作者：
Murphy, Claire