通过增加对异常宫癌查结果后随访的坚持,挽救了生命
Diane M Harper1, Tiffany M Yu1, A Mark Fendrick1
1Department of Obstetrics and Gynecology, the Department of Family Medicine, the Department of Bioengineering, School of Engineering, and the Center for Value-Based Design, University of Michigan, and the Department of Women's and Gender Studies, University of Michigan College of Literature, Science and the Arts, Ann Arbor, Michigan; and Guidehouse, Inc, San Francisco, California.
O&G open
|March 27, 2024
概括
消除对宫癌查和随访护理的经济障碍,可以预防癌症并挽救生命. 增加对这些服务的坚持显著减少了宫癌病例和死亡,提供了相当大的寿命.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
背景情况:
- 宫癌查,监测和结肠镜检查是必要的临床服务.
- 经济障碍可能会阻碍患者遵守推的后续护理.
- 可预防的发病率和死亡率与错过的查或随访预约有关.
研究的目的:
- 模拟消除金融障碍对遵守宫癌查和随访的影响.
- 量化潜在的癌症预防和在不同的坚持率中节省的生命年数.
- 评估增加对宫癌基本临床服务的遵守的健康益处.
主要方法:
- 采用了经过验证的决策分析马尔科夫显微模拟模型.
- 该模型评估了对查,监测和结肠镜检查的增加遵守.
- 模拟预测了宫癌病例,阶段,死亡率和增加的寿命.
主要成果:
- 完美的坚持可以预防128种子宫癌和每10万女性62例死亡.
- 这种优化情景还预计节省了2,135年的生命年.
- 敏感性分析证实,从任何坚持增加的临床上有意义的健康益处.
结论:
- 不遵守宫癌查和随访导致可预防的发病率和死亡率.
- 消除成本障碍可以改善对必要的后续护理的坚持.
- 公共和私人纳税人应该消除成本障碍,以减少宫癌负担.
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