一项成本与后果分析,比较气球可扩展覆盖式支架,用于治疗甲状腺封闭性疾病
Thomas M Warburton1,2, Shannon D Thomas1,2,3, Andrew Holden4
1Department of Surgery, Prince of Wales Hospital, Sydney, NSW, Australia.
概括
贝格拉夫特外围和Viabahn气球可扩展覆盖式支架 (BECS) 是24个月的最具成本效益的选择,用于管理大动脉封闭性疾病 (AIOD). 在36个月,Viabahn VBX BECS是最低成本的选择.
科学领域:
- 血管外科 血管外科
- 卫生经济学 卫生经济学
- 医疗器械技术 医疗器械技术
背景情况:
- 动脉封闭性疾病 (AIOD) 的管理需要仔细考虑治疗费用.
- 在AIOD干预中使用气球可扩展覆盖式支架 (BECS).
- 对不同的BECS设备进行比较成本分析对于医疗保健支付者来说至关重要.
研究的目的:
- 为了比较各种气球可扩展覆盖式支架 (BECS) 的手术和长期成本,用于甲状腺封闭性疾病 (AIOD).
主要方法:
- 从私人医疗支付者的角度开发了一个成本后果模型.
- 包括Lifestream,iCAST/Advanta V12,BeGraft外围设备和Viabahn VBX BECS设备的成本. 这里还包括了这些设备的成本.
- 临床结果来源于系统的文献审查;成本来自澳大利亚假肢清单.
主要成果:
- 在24个月内,BeGraft Peripheral (4807美元) 和Viabahn VBX (4839美元) 是最便宜的BECS选项.
- 在36个月的时间里,Viabahn VBX (5078美元) 是最便宜的BECS选择.
- 成本差异主要是由于每个肢体的支架数量和重血管化频率.
结论:
- BeGraft外围和Viabahn VBX BECS为AIOD治疗提供了类似的,较低的24个月成本.
- 对于AIOD来说,Viabahn VBX BECS是36个月的最经济的选择.
- 优化支架长度和尽量减少重新干预是节省BECS治疗成本的关键.
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