查加斯病的经济负担:系统审查
Mônica Viegas Andrade1, Kenya Valéria Micaela de Souza Noronha1, Aline de Souza2
1Department of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
PLoS neglected tropical diseases
|November 22, 2023
概括
本系统性审查强调了查加斯病 (CD) 治疗的重大经济负担,强调需要标准化成本测量. 了解这些成本对于旨在控制这种被忽视的热带疾病的公共卫生政策至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 传染性疾病 传染性疾病
背景情况:
- 查加斯病 (CD) 是一种被忽视的热带疾病,影响全球数百万人.
- 关于CD的经济负担和治疗成本的数据有限.
- 这次审查是RAISE项目的一部分,评估了CD的全球负担.
研究的目的:
- 系统地审查和评估与查加斯病治疗相关的主要成本.
- 分析特有和非特有国家的治疗成本.
主要方法:
- 在2022年之前对Medline,Lilacs和Embase数据库进行系统的电子搜索.
- 包括评估CD治疗成本的经济研究,没有语言或位置限制.
- 分析完整或部分经济研究.
主要成果:
- 包含了15项研究,其中大多数专注于特有国家.
- 常见的成本组成部分:住院护理,检查,手术,咨询,药物和起器.
- 在成本估计方法中观察到显著的异质性;住院是最一致的测量组件,年度成本范围很大.
结论:
- 这是对查加斯病治疗成本的首次系统审查.
- 衡量方法和成本组件的标准化对于准确的经济负担评估至关重要.
- 经济负担数据对于打击和消除查加斯病的公共政策至关重要.
相关概念视频
Leishmaniasis
Leishmaniasis is a protozoal disease caused by species of the genus Leishmania and transmitted through the bite of infected female sandflies. The parasite exists in two principal morphological forms during its life cycle. A sandfly acquires intracellular amastigotes from an infected reservoir host, such as a dog. Within the sandfly, these forms differentiate into motile, flagellated promastigotes. During a subsequent blood meal, promastigotes are injected into the human host, where they...
Malaria
Malaria pathogenesis in humans reflects a delicate interplay between parasite biology and host response. Clinical illness reflects a host’s immune response to the parasite’s asexual replication cycle, which is often asymptomatic in individuals with partial immunity. From the parasite's perspective, transmission between mosquito and human with minimal host pathology is evolutionarily advantageous. Among the six Plasmodium species infecting humans, P. falciparum and P. vivax dominate in global...
Toxoplasmosis
Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...
American Trypanosomiasis
Chagas disease, or American trypanosomiasis, is a vector-borne parasitic infection caused by Trypanosoma cruzi, a flagellated protozoan (kinetoplastid) of the family Trypanosomatidae. The disease is endemic in Latin America, although cases are increasingly reported worldwide due to human migration. Transmission most commonly occurs when feces of infected triatomine bugs contaminate bite wounds or mucosal surfaces; additional routes include congenital, transfusional, transplant-related, and oral...
Amebiasis
Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...
Antiprotozoal Agents
Leishmaniasis is a widespread parasitic disease caused by several Leishmania species. It affects millions of people each year and remains a major public health problem in endemic regions. First-line treatment relies on pentavalent antimonials, including meglumine antimoniate and sodium stibogluconate. Even so, how these drugs work has not been fully clear, especially their interaction with parasite-specific biochemical pathways. One key target is trypanothione reductase (TR), an enzyme that...


