与机会识别的脊椎骨折相关的医疗保健费用
Michael Kriegbaum Skjødt1, Joeri Nicolaes2, Christopher Dyer Smith3
1Department of Medicine, Holbæk Hospital, Smedelundsgade 60, DK-4300 Holbæk, Denmark; OPEN - Open Patient data Explorative Network, Department of Clinical Research, University of Southern Denmark and Odense University Hospital, J. B. Winsløws Vej 9A, 3rd floor, DK-5000 Odense C, Denmark.
Bone
|June 24, 2023
概括
在CT扫描中机会性识别的脊椎骨折 (VF) 与与普通人群相比更高的医疗保健成本有关. 短期成本在数字上高于没有VF的成本,但在统计学上并不显著.
科学领域:
- 放射学和成像学 放射学和成像学
- 医疗保健经济学 医疗保健经济学
- 骨健康 骨健康 骨健康
背景情况:
- 脊椎骨折 (VFs) 经常在例行放射性成像检测中被检测出来.
- 与这些偶然发现的VF相关的直接医疗保健成本以前没有被量化.
- 了解这些成本对于医疗保健资源分配至关重要.
研究的目的:
- 调查常规CT扫描中可识别的脊椎骨折患者的直接医疗费用.
- 将这些成本与没有VF的匹配队伍和一般人群进行比较.
主要方法:
- 追溯分析2000例常规CT扫描,以确定胸腔腹VFs.
- 匹配VF受试者1:2与非VF受试者和1:3与一般人口队列.
- 排除在基线之前服用骨质疏松症药物的受试者;通过国家登记册追踪的医疗保健费用长达6年.
主要成果:
- 医疗保健成本最初很高,但在接受CT扫描的受试者中随着时间的推移而下降.
- 与非VF受试者 (n=606) 相比,患有流行VF的受试者 (n=321) 在前三年呈现出数值上更高的平均每天总医疗费用风险.
- 在VF和非VF队列中,每年成本相似;然而,VF队列成本明显高于一般人群队列.
结论:
- 在常规CT扫描中发现的脊椎骨折与比一般人群更高的医疗费用有关.
- 短期医疗费用每天的风险在人数上,但不是显著的,高于VFs与没有的人相比.
- 这些发现突显了在成像上偶然检测到的VF的经济影响.
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