预康复计划 - - 对经济证据的系统审查
Yuhe Ke1, Roderica Rui Ge Ng1, Shalini Elangovan2
1Department of Anaesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore, Singapore.
Frontiers in medicine
|December 18, 2023
概括
对手术患者的预康复干预措施的经济评估是有限的. 虽然大多数研究表明可以节省成本,但缺乏强有力的证据和方法严格性,需要进一步研究以准确的定义.
科学领域:
- 卫生经济学 卫生经济学
- 手术护理 手术护理
- 基于证据的医学基于证据的医学.
背景情况:
- 预康复,即在手术前改善患者的病情,看起来有前途,但缺乏经济研究.
- 现有的关于预康复经济影响的研究有限.
研究的目的:
- 系统地审查和总结预康复干预措施的经济评估.
- 发现预康复经济评估中的差距.
主要方法:
- 在2015年的PRISMA协议之后进行系统审查.
- 分析了来自16000多份手稿的12项研究,成本调整至2022年12月.
主要成果:
- 大多数研究表明,预康复组节省了成本.
- 所有的成本效益分析都倾向于预康复干预措施.
- 显著的限制包括中等/高偏差风险和缺失的数据 (时间范围,折扣率).
结论:
- 目前缺乏预康复计划的强有力的经济证据.
- 通过严格的方法和明确的定义进行进一步的研究是必不可少的.
- 确定了医生在康复前经济评估中的知识差距.
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