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  4. Sex-related Differences in Epidemiology, Treatment, and Economic Burden of Traumatic Spinal Cord Injury in China (2013–2018)

Sex-related Differences in Epidemiology, Treatment, and Economic Burden of Traumatic Spinal Cord Injury in China (2013–2018)

Spine, 2023 · DOI: 10.1097/BRS.0000000000004669 · Published: September 1, 2023

Spinal Cord InjuryResearch Methodology & DesignPublic Health

Simple Explanation

This study examines the differences in traumatic spinal cord injury (TSCI) between males and females in China from 2013 to 2018. It looks at how common TSCI is, how it's treated, and the costs involved. The researchers analyzed data from 30 hospitals across 11 provinces/cities in China. They looked at factors like age, how the injury happened, what treatments were used, and the costs of hospitalization. The study found that while TSCI is more common in males, the proportion of females with TSCI is increasing. Also, the reasons for TSCI and the types of injuries differ between males and females.

Study Duration
2013-2018
Participants
13,465 individuals with TSCI
Evidence Level
Retrospective epidemiological study

Key Findings

  • 1
    The average ratio of males to females with TSCI is decreasing.
  • 2
    The frequency of TSCI may be increasing faster in females than in males.
  • 3
    Females demonstrated a higher frequency of thoracolumbar trauma and less severe neurological impairment.

Research Summary

This study analyzed data from 13,465 individuals with TSCI in China between 2013 and 2018, finding that while TSCI is more prevalent in males, the male-to-female ratio is decreasing. The study also revealed that the increase in TSCI cases is more rapid in females than in males, suggesting a shift in the epidemiology of TSCI. The research highlights the necessity for sex-specific public prevention measures and improved access to early surgical intervention for TSCI patients.

Practical Implications

Targeted Prevention Programs

Develop sex-specific public prevention measures to address the increasing incidence of TSCI in females.

Resource Allocation

Devote more medical resources to improve the ability of hospitals to perform early surgery for TSCI.

Clinical Awareness

Enhance awareness among healthcare providers regarding the differing injury patterns and severities between males and females with TSCI.

Study Limitations

  • 1
    Study was not a population-based design.
  • 2
    Missing data in some variables.
  • 3
    Only collected data from China.

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