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首页> 外文期刊>Journal of neurology >Disparities in epilepsy surgery in the United States of America
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Disparities in epilepsy surgery in the United States of America

机译：美利坚合众国癫痫手术的差异

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The aim is to describe the epidemiology of epilepsy surgery in children and adults in the United States. We performed a descriptive study of the National Inpatient Sample (NIS) for the year 2012 and the Kids' Inpatient Database (KID) for the period 2010-2012, the largest all-payer databases on inpatient data in the USA. These databases estimate 97% of all inpatient hospital discharges in the USA. In the KID, 12,899 (0.2%) of admission records had brain surgery and 600 of the 4900 (12.2%) admissions with focal refractory epilepsy underwent epilepsy surgery. Epilepsy surgery occurred in 60% of Whites, 7% of Blacks, 15% of Hispanics, and 10% of other races. In the NIS, 99,650 (0.3%) of admission records had brain surgery and 1170 of the 9775 (12%) admissions with focal refractory epilepsy underwent epilepsy surgery. Epilepsy surgery occurred in 69% of Whites, 7% of Blacks, 9% of Hispanics, and 8% of other races. In both the KID and the NIS, lower socioeconomic status was mildly underrepresented in epilepsy surgery. In both pediatric and adult admissions, there was an overrepresentation of Whites and underrepresentation of Blacks, which persisted after stratifying by socioeconomic status. Females were underrepresented in epilepsy surgery, but gender disparities were partially explained by differences in socioeconomic status. Epilepsy surgery is not equally distributed across races in the USA and these differences are not fully attributable to differences in socioeconomic status. Racial disparities in epilepsy surgery similarly affect children and adults.
机译：目的是描述美国儿童和成人癫痫手术的流行病学。我们对2012年的全国住院性样本（NIS）进行了描述性研究，以及2010-2012期间的儿童住院数据库（KID），是美国住院数据的最大的所有付款人数据库。这些数据库估计美国所有住院医院排放的97％。在孩子中，12,899（0.2％）的入学记录有脑外手术，4900（12.2％）的600名（12.2％），局灶性难治性癫痫接受癫痫手术。癫痫手术发生在白人的60％，7％的黑人，15％的西班牙裔和其他10％的比赛。在NIS中，99,650（0.3％）的入学记录具有脑外手术，1170名9775（12％）入院，局灶性难治性癫痫接受癫痫手术。癫痫手术发生在白人的69％，黑人7％，9％的西班牙裔和8％的其他比赛中。在孩子和NIS中，较低的社会经济地位在癫痫手术中有轻度效果。在儿科和成人入学方面，黑人的白人持久化，黑人经历的普遍存在，在社会经济地位分层后持续存在。女性在癫痫手术中受到尊重，但社会经济地位的差异部分解释了性别差异。癫痫手术在美国的比赛中并不同样分布，这些差异并不完全归因于社会经济地位的差异。癫痫手术中的种族差异同样影响儿童和成人。

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