识别痉挛性脑瘫儿童护理中的种族差异:一项单中心研究。

IF 0.8 Q4 PEDIATRICS Journal of pediatric rehabilitation medicine Pub Date : 2023-01-01 DOI:10.3233/PRM-210094
Alecia K Daunter, Jessica Pruente, Angeline Bowman, Daniel G Whitney
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引用次数: 0

摘要

目的:现有证据表明种族和民族差异影响脑瘫(CP)的患病率和严重程度。研究其对相关治疗影响的文献很少。方法:在这项回顾性队列研究中,一个机构数据库搜索确定了患有痉挛性CP的儿科患者的门诊就诊情况。使用附加过滤器来确定接受的治疗。对于每一种治疗,比较非洲裔美国人(AA)患者接受治疗的比例与高加索人(C)患者接受相同治疗的比例。结果:21年间,某三级专科医院门诊共收治了3686例痉挛性CP患儿。对于AA或C患者,任何治疗的比例与整个样本相比没有显著差异。结论:在本样本中,没有明显的证据表明在接受痉挛治疗的AA患者中存在种族差异。这一数据受到几个因素的限制。需要进一步的研究来确定残疾儿童患者是否得到了公平的护理。临床医生应考虑系统地监测他们的实践,以确定在获得护理方面存在偏见或不公平的领域。
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Identifying racial disparities in care for children with spastic cerebral palsy: A single center study.

Purpose: Existing evidence identifies racial and ethnic disparities impacting the prevalence and severity of cerebral palsy (CP). There is a paucity of literature examining the impact on associated treatment.

Methods: In this retrospective cohort study, an institutional database search identified outpatient encounters for pediatric patients with spastic CP. Additional filters were used to determine treatments received. For each treatment, the proportion of African American (AA) patients receiving treatment was compared to the proportion of Caucasian (C) patients receiving the same treatment.

Results: 3,686 children with spastic CP were seen in outpatient clinics associated with an academic tertiary hospital over a 21-year period. There was no significant difference between the proportion of any treatment compared to the entire sample for AA or C patients.

Conclusion: In this sample, there was no significant evidence of a racial disparity for AA patients receiving treatments for spasticity. This data is limited by several factors. Further research is needed to determine whether pediatric patients with disabilities are receiving equitable care. Clinicians should consider systematically monitoring their practices to identify areas of bias or inequity in accessing care.

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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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