肝硬化患者的护理费用
Fasiha Kanwal1,2,3,4, Richard Nelson5, Yan Liu1,2,3,4
1Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
The American journal of gastroenterology
|August 10, 2023
概括
肝硬化患者的医疗费用要高得多,并发症导致大部分费用. 预防这些并发症为肝硬化护理的成本节省提供了最大的潜力.
科学领域:
- 卫生经济学 卫生经济学
- 胃肠病学 胃肠病学
- 临床研究 临床研究
背景情况:
- 对肝硬化治疗成本的纵向数据有限,阻碍了基于价值的医疗保健计划.
- 了解肝硬化所带来的经济负担对于资源配置和节约成本的策略至关重要.
研究的目的:
- 估计与肝硬化相关的每年增加的医疗保健费用.
- 分析基于肝硬化严重程度,并发症和并发症的成本变化.
主要方法:
- 从2011-2019年对退伍军人事务患者进行的回顾性队列研究.
- 对39,361名肝硬化患者与138,964名匹配对照进行了比较.
- 成本分析按肝硬化严重程度,并发症 (,脑病变等) 分层分层. ) 和德约指数.
主要成果:
- 肝硬化患者的每年增量成本在第一年为35,029美元,在随后的几年下降到14,216-17,629美元.
- 肝硬化并发症显著增加了成本;肝脏脑病变 ($ 50,080) 和炎 ($ 50,364) 是第一年最昂贵的.
- 患有急性损伤 (64,413美元) 或多病症 (66,653美元) 的患者在第一年承担了最高的费用.
结论:
- 肝硬化与对照组相比,大幅增加医疗保健支出,多病症进一步增加成本.
- 肝硬化并发症是超额成本的主要驱动因素,强调预防并发症是降低成本的关键目标.
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