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腹部外科手术后手术后皮质的全球成本:元分析
Luke Traeger1,2, Michalis Koullouros1,2, Sergei Bedrikovetski1,2
1Colorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
BJS open
|June 23, 2023
概括
在腹部外科手术后的术后骨显著增加了医院费用,平均每名患者8233欧元. 降低手术后骨髓发生率对于减轻医疗保健费用和改善患者治疗结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 卫生经济学 卫生经济学
背景情况:
- 手术后阴道 (POI) 是腹部手术后的常见并发症,导致患者患病率增加和医院费用增加.
- 这一系统性审查是第一个量化了与POI相关的每位患者的全球平均医院费用.
研究的目的:
- 为了确定每位患者在手术后的骨髓炎中所花费的全球平均医院费用.
- 量化POI对医疗保健系统的财务影响.
主要方法:
- 电子数据库的系统文献搜索 (2000年1月 - 2023年3月).
- 包括比较有POI和没有POI的腹部手术患者的研究,重点是成本数据.
- 六项符合条件的研究的元分析,使用纽卡斯尔-太华尺度评估偏差风险.
主要成果:
- 包括9项研究 (1,860,889名患者),揭示了POI定义的显著差异.
- 分析显示,每位POI患者的平均增加为8233欧元,使总医院费用增加了66.3%.
- 结肠直肠手术的具体研究表明,每名患者增加了7242欧元,增加了57.3%的成本.
结论:
- 在腹部手术后,POI的全球财务负担是相当大的.
- 建议对POI的定义进行标准化,并收集多中心数据.
- 减轻POI的发生率和影响对于降低医疗保健成本和改善患者治疗结果至关重要.
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