患者为中心的经济负担的排泄性与年龄相关的黄斑退化:回顾性队列研究
Kyungseon Choi1,2, Sang Jun Park3, Sola Han4
1Department of Regulatory Science, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
JMIR public health and surveillance
|December 8, 2023
概括
排泄性与年龄相关的黄斑变性 (AMD) 对患者造成了重大经济负担,尽管有补偿政策,但自付费用仍然很高. 这项研究量化了与非排泄性AMD相比,排泄性AMD的长期财务影响.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 视网膜疾病 视网膜疾病
背景情况:
- 与年龄相关的斑点退化 (AMD) 是导致失明的首要原因.
- 用抗血管内皮生长因子 (VEGF) 药物的治疗是有效的,但成本高昂.
- 长期以患者为中心的脱性AMD的经济负担仍未得到充分研究.
研究的目的:
- 为了评估2年的患者为中心的经济负担的排泄性AMD.
- 为了比较成本,包括不偿还和自付费用,与非排斥性AMR.
- 使用观察医学结果伙伴关系 (OMOP) 共同数据模型 (CDM) 进行分析.
主要方法:
- 使用OMOP CDM (2,006,478名患者) 的回顾性队列研究.
- 根据诊断和治疗,定义出汗性AMD和对照组.
- 倾向性得分匹配和指数条件模型被用来分析成本.
主要成果:
- 鉴定了931名外泄性AMD患者,并与2918名对照进行了匹配.
- 排泄性AMD组的医疗,报销,不报销和自付费用总额显著更高.
- 第一年的增量成本在366美元至3426美元之间,第二年从373美元至1829美元之间.
结论:
- 膨胀性AMD在两年内显著增加了经济负担,包括自付费用.
- 现有的经济政策可能无法完全减轻患者的财务压力.
- 需要扩大补偿策略,以支持患有排泄性AMD的患者.
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