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关节镜后射是一种经济高效的程序吗? 一个决策分析分析

Ryan Lopez, Benjamin Zmistowski, Benjamin A Hendy

The archives of bone and joint surgery

|February 6, 2024

概括

关节镜后喷射手术用于肩部不稳定性比具有类似患者结果的开放方法更昂贵. 需要进一步的证据来证明关节镜技术的更高成本.

科学领域:

整形外科手术整形外科手术
卫生经济学卫生经济学

背景情况:

关节镜后射器是开放后射器的替代方案,用于膜部稳定.
关于关节镜技术改善结果的证据是混合的.

研究的目的:

评估关节镜术与开放式Latarjet手术的成本和效用.
为了确定Latarjet稳定在十年的成本效益.

主要方法:

一个成本效益模型是在十年内开发的.
分析了有关设备利用率和门诊外科中心成本的机构数据.
使用EuroQol (EQ) 5D获得了实用性得分,并进行了决策树分析.

主要成果:

关节镜拉达喷气机的成本比开放式拉达喷气机多2,796.87美元.
实用性得分几乎相同:为关节镜的1.330和开放的1.338.
为了使成本相等,关节镜外科手术的时间必须缩短到41.5分钟,或者消除设备成本.

结论:

关节镜Latarjet的更高成本并未得到当前成本和效用数据的支持.
打开Latarjet显示了稍微更好的实用性.
关节镜治疗方法的额外好处,如减少麻醉剂使用或并发症,必须被证明是合理的.

关键词:

关节镜后台喷射器成本分析成本分析后飞行程序后飞行程序肩膀的不稳定性肩膀的不稳定性

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