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早期发现类风湿性关节炎:是否能节省与治疗相关的成本?
Elise van Mulligen1,2, Maureen Rutten-van Mölken3,4, Annette van der Helm-van Mil5,2
1Rheumatology, Leiden University Medical Center, Leiden, Zuid-Holland, Netherlands e.van_mulligen@lumc.nl.
Annals of the rheumatic diseases
|July 17, 2024
概括
早期风湿性关节炎 (RA) 诊断显著降低了自身抗体阴性和自身抗体阳性RA患者的治疗成本. 在症状出现后的12周内迅速开始治疗是经济上有利的.
科学领域:
- 类风湿病学 类风湿病学
- 卫生经济学 卫生经济学
背景情况:
- 早期诊断和治疗启动对于管理类风湿性关节炎 (RA) 至关重要.
- 早期与延迟的RA诊断和治疗的经济影响以前没有被研究过.
研究的目的:
- 为了确定早期的风湿性关节炎 (RA) 诊断是否与较晚的诊断相比,与治疗相关成本的降低有关.
主要方法:
- 分析了来自莱登早期关节炎诊所 (2011-2017) 的431名RA患者的队列.
- 早期开始治疗被定义为症状持续时间低于12周.
- 在使用处方数据和2022/2012年价格,分别分析自身抗体阳性和阴性RA时,对5年来疾病修饰性抗风湿药物的使用和相关成本进行了评估.
主要成果:
- 对于自身抗体阴性RA,晚期诊断导致成本增加了316% (4856欧元对1159欧元).
- 对于自身抗体阳性RA,晚诊导致成本提高了19% (9418欧元对7934欧元).
- 在接受生物药物治疗的自身抗体阳性RA患者中,晚期开始治疗与46%更高的成本有关.
结论:
- 在症状出现后12周内诊断并开始治疗RA,与较低的治疗相关费用有关.
- 这项研究提供了关于早期RA诊断和治疗开始对医疗保健支出的影响的第一个证据.
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