在直肠癌手术后转移口腔的成本:一个跨国分析
Benjamin P Geisler1,2, Khoa N Cao2, Anne M Ryschon2
1Institute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Surgical endoscopy
|August 14, 2023
概括
在直肠癌手术后转向 ostomy 造成了相当大的终身成本,估计为数万美元或英. 减少对口术的需要可能会导致医疗保健的大幅节省.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 外科手术的结果
背景情况:
- 在结直肠癌手术后转向结直肠术和结直肠术可以预防解剖管泄漏并发症.
- 然而,这些口腔切除会对生活质量产生负面影响,并带来未知的长期经济后果.
研究的目的:
- 为了估计与直肠癌切除后的口腔安置相关的终身成本.
- 对比是在美国,英国和德国进行的.
主要方法:
- 使用文献衍生参数开发了决策分析模型.
- 模型结合了生存数据,国家特定的静脉突逆转率和国家折扣指南.
- 进行了灵敏度分析,以评估参数不确定性.
主要成果:
- 估计,终身折扣的声管相关费用为26311美元 (美国),9512英 (英格兰) 和10,021欧元 (德国).
- 关键的成本驱动因素包括口腔膜维护和逆转手术报销.
- 对于静脉口腔逆转率,基线年龄和折扣率,模型灵敏度最高.
结论:
- 在直肠癌手术后的口腔护理代表了长期的重大财务负担.
- 旨在最大限度地减少转向 ostomies 的要求的策略可能会带来相当大的成本节省.
相关概念视频
01:24Ostomy Care
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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
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