[Gender medicine: endocrine and neuroendocrine diseases : Implications for surgery and perioperative management].

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-05 DOI:10.1007/s00104-024-02140-8
Frederike Butz, Charlotte Friederieke Müller-Debus, Martina T Mogl
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Abstract

Gender medicine is also becoming increasingly more important in the field of surgery of endocrine and neuroendocrine diseases. Gender differences in the incidence, symptoms and disease progression are common to all (neuro)endocrine diseases. Understanding these special features, which include socioeconomic aspects as well as different anatomical and biological factors, is essential for the selection of optimal diagnostics and treatment but in some cases further scientific research is required. To date, there is a paucity of gender-specific recommendations in established guideline recommendations. There is an enormous potential in all areas of endocrine surgery to take advantage of differences between men and women in the diagnostics, surgical treatment and perioperative management. Individualized approaches could lead to improved surgical outcomes, reduced perioperative complications and improved follow-up.

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[性别医学:内分泌和神经内分泌疾病:对手术和围手术期管理的影响]。
性别医学在内分泌和神经内分泌疾病外科领域也变得越来越重要。所有(神经)内分泌疾病在发病率、症状和疾病进展方面都存在性别差异。了解这些特殊性,包括社会经济方面以及不同的解剖和生物因素,对于选择最佳诊断和治疗方法至关重要,但在某些情况下还需要进一步的科学研究。迄今为止,在既定的指南建议中,针对不同性别的建议还很少。利用男女在诊断、手术治疗和围手术期管理方面的差异,在内分泌外科的各个领域都有巨大的潜力。个性化的方法可以改善手术效果、减少围手术期并发症并改善后续治疗。
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