间歇性听症患者的运动治疗的成本效益 - - 从SUNFIT试验中对监督运动,家庭结构化运动和步行建议进行比较
Hildigunnur Ulfsdottir1,2, Maria Bäck3,4, Åsa Cider3,5
1School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden.
Journal of clinical medicine
|August 26, 2023
概括
对间歇性听 (IC) 进行监督运动计划 (SEP) 是昂贵的,并且不比家庭计划或简单的步行建议更有效. 基于家庭的结构化炼计划 (HSEP) 可能具有成本效益.
科学领域:
- 血管医学 血管医学
- 卫生经济学 卫生经济学
- 运动生理学 运动生理学
背景情况:
- 建议在间歇性声 (IC) 时进行医院监督运动 (SEP).
- 有限的SEP可用性增加了对家庭结构化炼计划 (HSEP) 和步行建议 (WA) 的兴趣.
研究的目的:
- 评估WA与北欧杆行走的成本效益与SEP与WA结合或HSEP与WA结合IC患者的WA.
- 为了比较12个月的健康结果 (QALY) 和医疗保健成本.
主要方法:
- 利用了来自SUNFIT随机对照试验 (RCT) 的数据.
- 通过非参数引导计算增量成本效益比率 (ICER) 和评估不确定性.
- 测量质量调整后生命年 (QALY) 和每位患者的住院费用.
主要成果:
- SEP的成本 (4619欧元) 比WA (1781欧元) 和HSEP (1820欧元) 高得多.
- 在各组之间没有观察到平均QALY的统计学上显著差异.
- 与WA相比,HSEP具有64%的成本效益概率.
结论:
- 与WA或HSEP相比,SEP不是一种具有成本效益的IC治疗方法,原因是成本更高,健康益处相似.
- 对于管理IC而言,HSEP提供了一个潜在的成本效益替代方案.
- 可能需要进一步的研究来证实HSEP的成本效益.
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