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慢性病患者复发性高胆血症的经济负担
George Bakris1, Abiy Agiro2, Alexandra Greatsinger3
1Comprehensive Hypertension Center, University of Chicago, IL.
Journal of managed care & specialty pharmacy
|August 5, 2024
概括
慢性病 (CKD) 患者的复发性高血症与正常血症或非复发性高血症相比,显著增加了医疗保健成本和资源使用. 需要进一步的研究来探索预防策略,以减少这种经济负担.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 超血是慢性病 (CKD) 的常见并发症,复发影响高达一半的患者.
- 慢性病患者复发性高胆血症的经济影响在很大程度上仍未得到量化.
研究的目的:
- 为了评估医疗保健资源利用率 (HRU) 和相应的医疗费用在3/4阶段的CKD患者经历复发性高血症.
- 为了比较复发性高血症,正常血症和非复发性高血症队列之间的HRU和成本.
主要方法:
- 一项追溯观察队列研究利用了从2016年1月到2022年8月的非识别索赔数据.
- 患有3/4阶段CKD和复发性高血症的患者与正常血和非复发性高血症队列相匹配.
- 所有原因的HRU和医疗费用在12个月的随访期间进行了比较.
主要成果:
- 患有复发性高血症的患者每年医疗费用 (34,163美元与15,175美元) 增加了一倍,并且与正常血症患者相比,HRU显著增加.
- 复发性高血症与医疗保健接触的增加以及比非复发性高血症高出14,057美元的医疗费用有关.
- 这些发现在医疗保险和雷宁-血管酶-阿尔多斯特系统抑制剂 (RAASi) 用户替代研究中一致.
结论:
- 在3/4阶段的CKD患者中,复发性高胆血症与医疗保健利用率和成本的大幅增加有关.
- 这些发现凸显了复发性高血症的重大经济负担.
- 进一步调查长期管理策略,以防止高血症复发是有必要的,以潜在地减轻这些成本.
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