Shulkin J M, Mellia J A, Patel V, Naga H I, Morris M P, Christopher A, Heniford B T, Fischer J P
Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA.
Hernia. 2022 Feb;26(1):251-257. doi: 10.1007/s10029-021-02411-x. Epub 2021 Apr 19.
A universal definition for what constitutes a hernia center does not exist. The purpose of this study was to characterize hernia centers in the United States by analyzing hernia centers and their non-hernia center counterparts.
A web-based search was conducted to identify defining features of hernia centers including faculty demographics and composition, research output, research funding, clinical trials, and website content. Hernia centers and non-hernia centers were compared.
Most hernia centers (n = 36) are in urban areas (89%) and distributed evenly across regions of the United States. Hernia centers are associated with University program types (p = 0.001) while non-hernia centers are associated with University-Affiliate (p = 0.001) and Community (p = 0.02) program types. Hernia centers are associated with Abdominal Core Health Quality Collaborative participation (p = 0.01) and Center of Excellence by the Surgical Review Corporation certification (p = 0.005). Hernia centers are associated with presence of active clinical trials (p < 0.001) and number of clinical trials (p < 0.001). Hernia centers are associated with industry-sponsored trials (p < 0.001) but are not associated with NIH-sponsored trials. Fifty percent of hernia centers have PRS faculty. The vast majority of hernia center websites describe hernias treated (92%) and repair techniques (89%). The majority of hernia center mission statements emphasize an individualized care plan (61%) and multidisciplinary care (57%). Only 39% of websites and 17% of mission statements mention research.
In the United States, hernia centers are clinically oriented, multidisciplinary surgical teams at predominantly urban, University programs that may use this title to attract patient referrals and industry sponsorship of clinical trials.
目前尚无关于何为疝中心的通用定义。本研究的目的是通过分析疝中心及其非疝中心的对应机构来描述美国的疝中心。
进行基于网络的搜索，以确定疝中心的定义特征，包括教职人员的人口统计学特征和组成、研究产出、研究资金、临床试验及网站内容。对疝中心和非疝中心进行比较。
大多数疝中心（n = 36）位于城市地区（89%），且在美国各地区分布均匀。疝中心与大学项目类型相关（p = 0.001），而非疝中心与大学附属医院（p = 0.001）和社区（p = 0.02）项目类型相关。疝中心与腹部核心健康质量协作参与相关（p = 0.01），并通过手术评审公司认证为卓越中心（p = 0.005）。疝中心与正在进行的临床试验的存在情况（p < 0.001）和临床试验数量（p < 0.001）相关。疝中心与行业赞助的试验相关（p < 0.001），但与美国国立卫生研究院赞助的试验无关。50%的疝中心有《整形与重建外科》（PRS）杂志的教职人员。绝大多数疝中心网站描述了所治疗的疝（92%）和修复技术（89%）。大多数疝中心的使命声明强调个性化护理计划（61%）和多学科护理（57%）。只有39%的网站和17%的使命声明提及研究。
在美国，疝中心是主要位于城市的大学项目中以临床为导向的多学科外科团队，这些团队可能会利用这个头衔来吸引患者转诊以及临床试验的行业赞助。
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