卫生国家公用事业和成本效益经济评估治疗症状附属 navicular 的治疗
Peter M Cirrincione1, Joshua T Bram2, Erikson T Nichols2
1Department of Orthopaedics, University of Illinois Chicago College of Medicine, Chicago, IL, USA.
Foot & ankle international
|July 30, 2024
概括
与非手术治疗相比,手术切除症状辅助 navicular 是具有成本效益的. 建议进行手术,除非非手术方法有71%的机会解决病情.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 患者报告的结果.
背景情况:
- 有症状的辅助 navicular 可以进行非手术或手术治疗.
- 定义健康效用值对于治疗决策至关重要.
- 成本效益分析有助于比较治疗策略.
研究的目的:
- 在有症状的辅助导管患者中,确定7种健康状况的健康实用值.
- 开发一个成本效益模型,比较手术与非手术治疗.
- 根据经济评估为临床建议提供信息.
主要方法:
- 从10-20岁的患者中收集了健康实用值.
- 一个决策分析模型包含了成本,结果和健康状况的持续时间.
- 使用了医疗保险成本和公布的结果概率.
主要成果:
- 在基准案例模型中,首选的是手术治疗.
- 手术切除 (16 825美元) 比非手术治疗 (7 486美元) 更昂贵.
- 手术的成本效益为20,303美元/QALY,低于50,000美元/QALY的门.
结论:
- 建议进行外科切除,除非非手术治疗成功率为71%.
- 成本效益分析支持对症状辅助 navicular. 进行手术干预.
- 这项研究提供了经济数据,以指导治疗选择.
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