对中国糖尿病脏病患者的保释囊的经济评估
Yumei He1,2, Wei Li1,2, He Zhu1,2
1International Research Center for Medicinal Administration, Peking University, Beijing, China.
Frontiers in pharmacology
|July 21, 2023
概括
与西方医学相结合的保释囊为糖尿病病提供了具有成本效益的治疗方法,改善了中国医疗保健系统中的质量调整寿命 (QALY).
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 药物经济学 药物经济学
- 基于证据的医学 基于证据的医学
背景情况:
- 糖尿病病是末期病的主要原因.
- 保释囊显示了糖尿病病的治疗潜力.
- 对于糖尿病脏病的Bailing囊的成本效益需要评估.
研究的目的:
- 评估贝林囊加西医药与单独西医药治疗糖尿病病的成本效益.
- 从中国医疗保健系统的角度分析治疗结果.
主要方法:
- 一个20年的马尔科夫模型模拟了患者的疾病进展.
- 临床疗效数据来源于对34项随机对照试验 (3,444名患者) 的元分析.
- 来自中国数据库和文献的成本和效用值;进行了敏感性分析.
主要成果:
- 保释囊增加了0.39个经质量调整的寿命年 (QALY),额外成本为CNY 24,721.
- 增量成本效益比率 (ICER) 为每获得的QALY为63,001元.
- ICER仍然低于支付意愿值 (CNY 80,976),经过敏感性分析证实.
结论:
- 与西方医学相结合的保释囊代表了中国糖尿病病的潜在的经济有效治疗方法.
- 这种组合疗法改善了患者的生活质量,并且在中国医疗保健背景下经济可行.
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