房动查策略的成本效益:系统性审查
Hassan Abolghasem Gorji1, Majid Khosravi1, Razieh Mahmoodi1
1Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Iranian journal of public health
|August 8, 2023
概括
查心房动 (AF) 是具有成本效益的,特别是基于人口的策略. 这次审查分析了15项研究,发现不同AF查方法和人群的成本效益比率各不相同.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 心房动 (AF) 是最常见的心律失常.
- AF显著增加了中风的风险.
- 对AF查成本效益的系统审查至关重要.
研究的目的:
- 系统地审查各种查心房动 (AF) 策略的成本效益.
- 确定AF检测和中风预防的最佳查方法.
主要方法:
- 在2020年12月之前对伊朗和国际数据库进行全面搜索.
- 纳入/排除标准适用于3360项已确认的研究.
- 分析主要结果:增量成本效益比率 (ICER),质量调整寿命年 (QALYs),检测到的病例和避免的中风.
主要成果:
- 在最终分析中包括了15项研究.
- ICER值从78.39 (65-85岁的日本妇女的心电图查) 到70,864.31 (加拿大80岁以上的加拿大人长期的心电图).
- 报告结果使用ICER,QALY和增长寿命年 (YLG).
结论:
- 大多数审查的研究支持各种AF查策略的成本效益.
- 基于人口的查方法显示,与其他方法相比,成本效益的证据更强.
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