实施基于风险的心血管疾病 (CVD) 管理的成本效益,使用印度最新的世卫组织心血管疾病风险预测图表
Parthibane Sivanantham1, Mathan Kumar S1, Saravanan Essakky1
1Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
PloS one
|August 25, 2023
概括
在印度实施最新的世界卫生组织 (WHO) 心血管疾病 (CVD) 查策略是具有成本效益的. 两阶段查方法提供了更高的成本效益,支持基于人口的CVD风险评估和管理.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 预防心血管疾病 预防心血管疾病
背景情况:
- 世界卫生组织 (WHO) 在2019年更新了心血管疾病 (CVD) 风险预测图表.
- 世卫组织建议基于人口的CVD风险评估和管理使用这些图表来控制CVD.
研究的目的:
- 评估在印度实施基于风险的CVD管理的成本效益,使用最新的世卫组织CVD风险预测图表.
- 将两个基于社区的CVD风险查策略与没有查的场景进行比较.
主要方法:
- 结合马尔科夫模型的决策树模拟了两种查策略:双阶段 (非实验室接下来是基于实验室的评估) 和单阶段 (仅基于实验室).
- 一组模拟的40岁以上没有先前心血管疾病事件的个体在一生的时间范围内被分析.
- 计算了增量成本效益比率 (ICER),数据来源于初级和二级研究.
主要成果:
- 两阶段 (每QALY105美元) 和单阶段 (每QALY1073美元) 的查策略都被发现具有成本效益,实施覆盖率为40%.
- 实施心血管疾病查预计将大大降低心血管疾病事件的发生率,而不是没有查.
结论:
- 在印度,这两种心血管疾病查策略都具有成本效益,而两阶段方法更具成本效益.
- 这些发现支持在印度实施基于人口的心血管疾病查计划.
- 进一步的研究应该研究这些战略在各个实施级别的预算影响.
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