用于内镜逆行胆血管细胞造影的单次使用十二指镜的成本效益分析
David Nicolás-Pérez1, Antonio Zebenzuy Gimeno-García1, Rafael Joaquín Romero-García1
1From the Servicio de Aparato Digestivo, Hospital Universitario de Canarias.
Pancreas
|March 22, 2024
概括
如果价格降低,单次使用的十二指管镜对于内镜逆行胆血管细胞造影是具有成本效益的. 然而,高交叉率使它们变得低效,凸显了采用成本的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
- 预防传染病 预防传染病
背景情况:
- 在ERCP期间,可重复使用的十二指镜的二次感染构成风险,影响高达3%的程序.
- 建议采用一次性十二指镜来缓解感染传播.
- 一次性十二指镜的成本效益需要彻底调查.
研究的目的:
- 评估一次性十二指镜的成本效益与ERCP的可重复使用十二指镜相比.
- 确定一次性十二指镜成本和交叉率对整体效率的影响.
- 从国家卫生系统的角度评估经济可行性.
主要方法:
- 一个成本效益分析,比较可重复使用和一次性使用的十二指镜用于ERCP.
- 经质量调整的寿命年 (QALY) 计算以衡量有效性.
- 增量成本效益比率 (ICER) 确定了25,000欧元/QALY的支付意愿门.
- 进行敏感性分析 (确定性和概率) 来测试模型的稳定性.
主要成果:
- 凭借10%的一次性十二指镜率和2900欧元的成本,而不是1333欧元,ICER超过了3,000,000欧元/QALY.
- 将一次性十二指镜的成本降至1211欧元,产生了23,583欧元/QALY的ICER.
- 超过9.5%的交叉率使一次性十二指镜变得低效,单位成本为1211欧元.
结论:
- 单次使用的十二指镜可以为ERCP节省成本,如果其采购成本大幅降低.
- 一次性十二指镜的效率对从一次性到可重复使用的设备的交叉率非常敏感.
- 优化成本和管理交叉对一次性十二指镜的成功实施至关重要.
更多相关视频
07:36Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
1.8K
03:34Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
384
相关概念视频
Endoscopic Procedures V: ERCP
210
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
210
Endoscopic Procedures I: Esophagogastroduodenoscopy
114
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
114
Endoscopic Procedures III: Video Capsule Endoscopy
141
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
141
Ultrasound II: Endoscopic Ultrasound and FibroScan
102
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
102
