对过度活跃膀的第三线治疗选择的长期成本分析
Mary Pelling1, Jessica Hammett1, Dattatraya Patil1
1Emory University School of Medicine, Atlanta, Georgia.
Urology practice
|November 2, 2023
概括
15年来,神经神经调节 (SNM) 是对过度活性膀 (OAB) 最具成本效益的第三线治疗方法. 与其他OAB疗法相比,它提供了最低的总净支付和患者捐款.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 医学经济学 医学经济学
背景情况:
- 过度活性膀 (OAB) 是一种影响数百万人的疾病,需要有效的第三线治疗.
- 评估OAB治疗的长期经济影响对于患者和医疗保健系统规划至关重要.
研究的目的:
- 分析和比较第三线治疗过活性膀 (OAB) 的长期成本.
- 在15年内确定OAB最具成本效益的第三线治疗选择.
主要方法:
- 来自MarketScan (MKS) 和Medicare补充 (MDC) 数据库的保险索赔数据 (2015-2020年) 的回顾性分析.
- 包括18岁以上的OAB诊断患者,接受皮肤穿神经刺激,神经神经调节 (SNM) 或肉A疗法.
- 在估计的15年期间,提取和汇总患者级成本,包括总净支付和患者缴费.
主要成果:
- 在15年中,神经神经调节 (SNM) 显示了最低的总净支付 (5,179.10MKS,6,099.00MDC) 和患者贡献 (59.10MKS,60.00MDC) 在15年中.
- 穿皮神经刺激是最昂贵的治疗选择.
- 玻尿酸A代表了SNM和皮肤穿神经刺激之间的中间成本.
结论:
- 根据长期成本分析,神经神经调节 (SNM) 是治疗过活性膀 (OAB) 的最具成本效益的第三线治疗方法.
- 这些发现支持SNM作为首选的经济选择,用于在初始治疗失败时管理OAB.
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