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儿科个人水平肥胖症治疗的成本效益分析:一个范围审查
Ashwin Dhillon1, Madeline Mayer1, Lynn Kysh2
1Department of Pediatrics, Center for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles and Keck School of Medicine of USC, Los Angeles, California, USA.
Pediatric obesity
|January 30, 2024
概括
这次审查发现,个别的儿科肥胖治疗方法,特别是行为干预措施,具有成本效益. 未来的研究应该解决经济评估中的方法论挑战,以改善决策.
科学领域:
- 卫生经济学 卫生经济学
- 治疗儿科肥胖症的方法
- 干预措施的成本效益.
背景情况:
- 儿童肥胖是一个日益严重的公共卫生问题,需要有效和经济可行的治疗策略.
- 卫生经济学为评估医疗保健干预措施的价值提供了一个框架,包括儿童肥胖症干预措施.
- 了解不同儿童肥胖治疗的成本效益对于资源配置和临床决策至关重要.
研究的目的:
- 对儿童肥胖治疗的健康经济学进行范围审查.
- 确定最近发表的关于儿童肥胖干预措施成本效益的研究.
- 确定具有成本效益的儿童肥胖干预措施的关键特征.
主要方法:
- 在六个数据库 (Medline,Embase,Cochrane CENTRAL,CINAHL,PsycINFO) 进行了系统的搜索,直到2023年3月.
- 包括的研究集中在个人层面,体重管理干预措施 (行为,药物治疗,手术) 对于年龄在2-21岁的年轻人肥胖.
- 涉及成本分析的研究有资格被纳入.
主要成果:
- 在4371个记录中,有39项研究符合纳入标准,主要来自高收入国家,并于2010年后发表.
- 35项研究 (90%) 评估了生活方式干预措施,其中30项 (85%) 发现成本效益高.
- 四项研究 (10%) 评估了手术干预,所有这些都被报告为具有成本效益. 没有药物治疗研究符合标准.
结论:
- 个体级别的儿科肥胖治疗,特别是行为干预措施,证明了成本效益和潜在的成本节约.
- 对儿童肥胖干预措施的经济评估面临的方法挑战需要进一步研究.
- 应对这些挑战将提高经济评估在指导儿童肥胖治疗决策中的实用性.
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