范科米粉在全脚关节整形术中具有高成本效益
Hannah H Nam1,2, Brandon J Martinazzi1, Gregory J Kirchner2
1Penn State College of Medicine, Hershey, Pennsylvania.
Foot & ankle specialist
|June 21, 2023
概括
局部使用的万科米辛粉末可以作为一种具有成本效益的措施,用于在全脚关节整形术 (TAA) 后预防假肢关节感染 (PJI). 这种策略在粉末,感染率和修订程序的各种成本场景中仍然具有经济性.
科学领域:
- 整形外科手术 整形外科手术
- 预防传染病 预防传染病
- 卫生经济学 卫生经济学
背景情况:
- 假肢关节感染 (PJI) 是全面脚关节整形术 (TAA) 后的一个重大并发症.
- 局部范科米辛粉末有时在手术内使用,以减少PJI的风险.
- 确定这种预防措施的经济可行性对于外科实践至关重要.
研究的目的:
- 评估使用局部万科米粉来预防TAA中PJI的成本效益.
- 为考虑使用万科米辛粉末的外科医生开发经济模型.
主要方法:
- 使用机构数据进行了平衡分析.
- 计算绝对风险降低和需要治疗的人数.
- 多种参数,包括万科米辛成本,PJI率和TAA修订成本.
主要成果:
- 如果PJI率下降0.02% (NNT=5304),3.06美元/克的万科米辛粉是具有成本效益的.
- 在广泛的万科米辛价格范围 (2.50美元-100美元) 中,成本效益得到了证明.
- 干预仍然具有成本效益,PJI利率从0.05%到3%,修订成本为1000-10,000美元.
结论:
- 局部使用的万科米辛粉是TAA中PJI预防的成本有效策略.
- 经济效益跨越各种临床和财务参数.
- 这一分析为外科医生提供了一个框架,以评估万科米粉在他们的实践中的价值.
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