患有血友病A的成年人的健康实用:一项回顾性队列研究
Sam Hirniak1, Andrea N Edginton1, Alfonso Iorio2,3
1School of Pharmacy, Faculty of Science, University of Waterloo, Kitchener, ON, Canada.
概括
加拿大的A型血友病患者的医疗设施比一般人口低. 慢性疼痛显著影响生活质量,这对于血友病A治疗的成本效益分析至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 患者报告的结果
- 血液学 血液学 血液学
背景情况:
- 血友病A显著影响患者的生活质量.
- 对血友病A患者的健康实用数据有限,这阻碍了成本效益分析.
- 了解健康公用事业对于评估血友病A治疗至关重要.
研究的目的:
- 为了确定加拿大血友病A患者的健康实用值.
- 确定影响该人口健康公用事业的因素.
- 为血友病A.的成本效益研究提供信息.
主要方法:
- 使用加拿大出血障碍登记处 (CBDR) 进行基于人口的,横截面的,回顾性研究.
- 对严重,中度和轻度血友病A严重程度状态的卫生公用事业的分析.
- 多重线性回归以评估实用性的决定因素,包括疼痛,并发症,年龄,治疗,关节限制和出血率.
主要成果:
- 血友病A患者的平均效用值为0.79 (严重),0.76 (中度) 和0.77 (轻度).
- 慢性疼痛和并发症的数量是影响实用性的主要显著因素 (p < .001).
- 血友病A的严重程度也是一个重要因素 (p < .05).
结论:
- 与一般人群相比,A型血友病患者的健康效用降低.
- 慢性疼痛是血友病A患者与健康相关的生活质量的关键决定因素.
- 这项研究为评估血友病A患者的健康结果提供了必要的数据.
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