在不孕症管理中的生活方式干预措施的经济评估:系统性审查
Suvijak Untaaveesup1,2, Brandon Chongthanadon2, Chayanis Kositamongkol3
1Phaholpolpayuhasena Hospital, Kanchanaburi, Thailand.
PloS one
|August 23, 2024
概括
生活方式干预改善了不孕症患者的怀孕和分娩结果. 这些计划比标准的不孕症护理更具成本效益,提供临床和经济效益.
科学领域:
- 生殖医学 生殖医学
- 卫生经济学 卫生经济学
- 基于证据的实践.
背景情况:
- 在全球范围内,不孕症影响着两性,受到各种风险因素的影响.
- 现有文献强调了生活方式干预在不孕症治疗中的临床和成本效益.
- 目前还没有对这些干预措施的经济方面进行全面分析.
研究的目的:
- 系统地审查和评估生活方式干预在不孕症管理的经济维度.
- 综合关于将生活方式变化纳入不孕症治疗方案的成本效益的证据.
主要方法:
- 在PubMed,Embase和Scopus数据库中进行了详尽的文献搜索,截至2024年2月.
- 包括专注于经济结果的研究和对不孕症生活方式干预措施的评估.
- 通过使用德拉蒙德检查表来评估研究质量.
主要成果:
- 包括来自高收入国家的五项研究 (三项成本效益分析,一项队列研究,一项RCT).
- 生活方式干预包括指导,营养,运动,体重管理,戒烟和正念.
- 这些干预措施被发现可以提高怀孕和活产率,并且可能比标准护理更具成本效益.
结论:
- 整合生活方式干预措施为接受不孕症治疗的夫妇提供了临床益处.
- 这些干预措施代表了传统不孕不育护理的成本效益高的替代方案,尤其是在高收入环境中.
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