Lack of disparities in screening for associated anomalies in children with anorectal malformations.
Lack of disparities in screening for associated anomalies in children with anorectal malformations.
复制标题
肛门直肠畸形儿童相关异常的筛查缺乏差异。
DOI：
10.1016/j.jss.2018.05.008
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Gosain,Ankush
中科院分区：
文献类型：
--
作者：
Veras,LauraV;Smith,JustinR;Gosain,Ankush
肛门直肠畸形（ARM）患者通常伴有先天性异常，在出生后的第一年应进行多次筛查。我们假设，种族和社会经济的差异存在于筛选过程中，这些patients.MethodsAfter IRB批准，回顾性审查与ARM出生于2005年和2016年之间的患者进行四级护理儿童医院。收集了包括性别、种族、保险和邮政编码在内的人口统计学资料。邮政编码被用作收入中位数的替代品。进行病历审查，以确定异常类型以及是否在1岁内进行了脊椎缺陷、肛门直肠畸形、心脏缺陷、气管-食管瘘、肾脏异常和肢体异常筛查。描述性统计和卡方分析performed.Results100例（59%男性，68%低畸形）被确定。非裔美国人和白人受试者分别占人群的41%和40%。总的来说，100名患者中有68名患者至少有一项筛查测试，用于脊椎缺陷，肛门直肠畸形，心脏缺陷，气管食管瘘，肾脏异常和肢体异常的相关性。（接受骨骼调查的非裔美国人多于白人，80.5%vs60%，P = 0.00335），根据种族、保险或收入，在筛查的接收或时间安排方面没有明显的系统性偏倚模式。结论在筛查ARM患者相关异常方面似乎没有种族或社会经济差异。然而，筛查的总体差距仍然存在，并且必须进行工作以适当地筛查所有患者的相关异常。
IntroductionPatients with anorectal malformations (ARM) often have associated congenital anomalies and should undergo several screening exams in the first year of life. We hypothesized that racial and socioeconomic disparities exist in the screening processes for these patients.MethodsAfter IRB approval, a retrospective review of patients with ARM born between 2005 and 2016 was performed at a quaternary care children's hospital. Demographics including gender, race, insurance, and zip code were collected. Zip code was used as a surrogate for median income. Chart review was performed to identify anomaly type and whether Vertebral defects, Anorectal malformations, Cardiac defects, Tracheo-Esophageal fistula, Renal anomalies, and Limb abnormalities screening was performed within 1 y of age. Descriptive statistics and chi square analyses were performed.ResultsOne hundred patients (59% male, 68% low malformation) were identified. African American and Caucasian subjects represented 41% and 40% of the population, respectively. Overall, 68 of 100 patients had at least one screening test for each of the Vertebral defects, Anorectal malformations, Cardiac defects, Tracheo-Esophageal fistula, Renal anomalies, and Limb abnormalities associations.Although some minor differences were noted (more African Americans received skeletal survey than Caucasians, 80.5%versus60%,P= 0.00335), no pattern of systematic bias in the receipt or timing of screening was evident based on race, insurance, or income.ConclusionsThere do not appear to be racial or socioeconomic disparities in screening for associated anomalies in patients with ARM. However, overall gaps in screening still exist, and work must be carried out to appropriately screen all patients for associated anomalies.
登录
查看更多内容
肛门直肠畸形型直肠膀胱瘘的结果：荷兰的一项全国性队列研究。
影响因子：
2.4
作者：
H. J. J. van der Steeg;S. Botden;C. Sloots;A. van der Steeg;P. Broens;L. van Heurn;D. V. Travassos;I. V. van Rooij;I. de Blaauw
通讯作者：
I. de Blaauw
影响因子：
--
作者：
Cho, S;Moore, SP;Fangman, T
通讯作者：
Fangman, T
影响因子：
1.8
作者：
R. England;B. Eradi;G. Murthi;J. Sutcliffe
通讯作者：
R. England;B. Eradi;G. Murthi;J. Sutcliffe
影响因子：
1.8
作者：
Fanjul, Maria;Samuk, I.;Midrio, P.
通讯作者：
Midrio, P.
加州儿童获得泌尿科护理的机会：医疗补助与私人保险。
影响因子：
2.1
作者：
A. Hwang;Margaret M Hwang;H. Xie;B. Hardy;D. Skaggs
通讯作者：
D. Skaggs