良性疾病患者开腹与腹腔镜子宫切除术的趋势及变异性：一项回顾性队列研究
Trend and variability in open and laparoscopic hysterectomies for patients with benign disease: a retrospective cohort study.
作者信息
Saia Mario, Buja Alessandra, Cosmi Erich, Mantoan Domenico, Baldo Vincenzo
机构信息
Direzione Salute, Regione Veneto,Venice, Italy.
Laboratorio di Sanità Pubblica, Dipartimento di Medicina Molecolare, Università degli Studi di Padova, Padua, Italy.
出版信息
Ann Ist Super Sanita. 2017 Apr-Jun;53(2):135-141. doi: 10.4415/ANN_17_02_09.
AIM
The aim of the present analysis on a regional hospital database was to ascertain the variability and 5-year trends of hysterectomy rates and the different surgical approaches used.
METHODS
A retrospective cohort study was conducted in Veneto Region (North-East Italy), based on administrative data collected in 6 years, from 2009 to 2014.
RESULTS
Our study showed an overall decline in the hospitalization rates for hysterectomy from 197.5 to 165.8/100 000 and shorter overall hospital stays for this procedure (from 5.5 to 4.5 days). During the six years analyzed, there was an overall increase in the use of laparoscopic surgery (from 28% to 35% of cases). There was also a marked variability within the region considered in terms of the hysterectomy rates and the type of procedure performed.
CONCLUSIONS
The unwarranted variability in the rates of elective surgical procedures, and the techniques used to perform them, could be monitored by analyzing electronic hospital records.
目的
本次对某地区医院数据库的分析旨在确定子宫切除率的变异性和5年趋势，以及所采用的不同手术方式。
方法
基于2009年至2014年6年间收集的行政数据，在意大利东北部的威尼托地区进行了一项回顾性队列研究。
结果
我们的研究显示，子宫切除的住院率总体从197.5降至165.8/10万，且该手术的总体住院时间缩短（从5.5天降至4.5天）。在分析的6年中，腹腔镜手术的使用总体有所增加（从病例的28%增至35%）。在所研究的地区内，子宫切除率和所实施手术类型方面也存在显著差异。
结论
通过分析电子医院记录，可以监测择期外科手术率及其所用技术中不必要的变异性。
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