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胆脂瘤社会经济因素与临床复发关系的专题综述

A spot review on relations between socioeconomic aspect and clinical recurrence of cholesteatoma.

作者信息

Aljehani Mariam Jaber, Mukhtar Rayan Marwan, AlFallaj Rayan, Alhusayni Renad Abdullah, Alraddadi Reem Marzouq, Alhussaini Rayan

机构信息

ENT Resident, MOH, 42,376, Madinah, Saudi Arabia.

Medical assistant NGHJ, Jeddah, Saudi Arabia.

出版信息

Eur Arch Otorhinolaryngol. 2025 Feb;282(2):895-905. doi: 10.1007/s00405-024-09101-1. Epub 2024 Dec 18.

DOI:10.1007/s00405-024-09101-1
PMID:39692803
Abstract

BACKGROUND

This study investigates the relationship between the recurrence of Chronic Otitis Media with Otorrhea (ChOLE) and patient-related factors, surgical procedures, and elements. It involved 190 patients and aimed to identify significant relationships between demographics, condition severity, surgical approaches, comorbidities, problem classification, hygiene practices, and education level. Statistical analyses, including Chi-Square tests, were used to determine these connections.

METHODOLOGY

Data from 190 patients were meticulously reviewed, leading to significant discoveries. Statistical techniques, particularly Chi-Square tests, were employed to comprehend the links between ChOLE recurrence and diverse patient-related factors.

RESULTS

The examination yielded crucial insights, revealing significant correlations between ChOLE recurrence and comorbidities, education level, complications, problem classification, and hygiene habits. These findings were confirmed with a confidence level of 95%. Moreover, specific relationships were observed between recurrence and surgical procedures, geographic location, and condition severity.

CONCLUSION

This study highlights the significance of factors like comorbidities, education level, complications, problem classification, and hygiene practices in predicting ChOLE recurrence. It also reveals notable associations with surgical techniques, patient location, and condition severity. Understanding these factors is vital for assessing recurrence risk, improving patient care, and developing personalized treatments. These findings advance our understanding of ChOLE recurrence, enabling more targeted interventions for this common ear condition.

摘要

背景

本研究调查了慢性化脓性中耳炎(ChOLE)复发与患者相关因素、手术操作及相关因素之间的关系。该研究纳入了190名患者,旨在确定人口统计学、病情严重程度、手术方式、合并症、问题分类、卫生习惯和教育水平之间的显著关系。采用包括卡方检验在内的统计分析来确定这些关联。

方法

对190名患者的数据进行了细致审查,得出了重要发现。运用统计技术,特别是卡方检验,来理解ChOLE复发与各种患者相关因素之间的联系。

结果

该检查得出了关键见解,揭示了ChOLE复发与合并症、教育水平、并发症、问题分类和卫生习惯之间存在显著相关性。这些发现的置信水平为95%。此外,还观察到复发与手术操作、地理位置和病情严重程度之间存在特定关系。

结论

本研究强调了合并症、教育水平、并发症、问题分类和卫生习惯等因素在预测ChOLE复发中的重要性。它还揭示了与手术技术、患者所在地和病情严重程度的显著关联。了解这些因素对于评估复发风险、改善患者护理和制定个性化治疗至关重要。这些发现增进了我们对ChOLE复发的理解,使针对这种常见耳部疾病的干预更具针对性。

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JAMA Netw Open. 2023 Sep 5;6(9):e2335813. doi: 10.1001/jamanetworkopen.2023.35813.
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Recurrence in cholesteatoma surgery: what have we learnt and where are we going? A narrative review.胆脂瘤手术中的复发:我们学到了什么以及我们将何去何从?一篇叙述性综述。
Acta Otorhinolaryngol Ital. 2023 Apr;43(Suppl 1):S48-S55. doi: 10.14639/0392-100X-suppl.1-43-2023-06.
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How socioeconomically disadvantaged people access, understand, appraise, and apply health information: A qualitative study exploring health literacy skills.
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A Brief Review of Demographic and Clinical Correlates of Cholesteatoma Surgery in the Qassim Region.卡西姆地区胆脂瘤手术的人口统计学和临床相关性简要综述。
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