在加拿大 PERSPECTIVE 整合和实施项目中评估基于风险的乳腺癌查方法的现实世界卫生系统资源利用和成本
Soo-Jin Seung1, Nicole Mittmann2,3, Zharmaine Ante4
1HOPE Research Centre, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, ON M4N 3M5, Canada.
Cancers
|September 28, 2024
概括
在安大略省,风险分层的乳腺癌查发现高风险个体的成本较高,但整体医疗保健利用率相似. 将风险评估纳入查途径可以减少医疗保健系统的负担,并改善早期检测.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 在加拿大安大略省的PERSPECTIVE I&I项目中的前性队列研究.
- 对乳腺癌风险评估和查的评估医疗保健资源利用率和成本.
- 按个别风险水平分层成本.
研究的目的:
- 评估与风险分层乳腺癌查相关的医疗保健成本.
- 确定风险分层对整体医疗保健利用的影响.
- 为将风险评估纳入乳腺癌查途径提供信息.
主要方法:
- 1997名年龄在50-70岁的女性接受了风险评估,并接受了个性化查计划 (2019年7月至2022年12月).
- 风险分层利用CanRisk预测工具 (家族病史,多基因风险评分,乳腺密度,生活方式因素).
- 医疗保健成本 (与查相关的和整体的) 使用GETCOST宏观评估.
主要成果:
- 平均83.3%,比平均水平高14.4%,发现2.3%的高风险参与者.
- 高风险组的平均风险分层查成本最高 (CAD 905 ± 269).
- 平均风险的参与者拥有最高的平均整体医疗费用 (CAD 6311 ± 19,641).
结论:
- 高风险分层导致更高的查成本,但整体医疗保健成本在风险水平上是可比的.
- 将风险分层纳入查途径对于早期发现乳腺癌至关重要.
- 这种方法有可能减少医疗保健系统的负担,并改善患者的治疗结果.
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