血管接入手术报告的手术费用是多少?
Ben Edgar1,2, Catrin Jones1,3, Emma Aitken1,2
1Renal Transplant and Vascular Access Surgery, Queen Elizabeth University Hospital, Glasgow, UK.
The journal of vascular access
|September 30, 2024
概括
对动脉静脉接入手术缺乏准确的成本分析. 这次审查发现动脉静脉 (AVF) 和动脉静脉移植 (AVG) 报告的手术成本存在显著差异,突出了微成本研究的必要性.
科学领域:
- 血管外科 血管外科
- 卫生经济学 卫生经济学
背景情况:
- 动脉静脉移植 (AVG) 和动脉静脉 (AVF) 是关键的血管接入程序.
- 当前的经济分析往往缺乏准确的成本报告,阻碍了成本效益评估.
- 总成本计算方法过度简化了血管接入手术的真正成本.
研究的目的:
- 在经济分析中评估AVF和AVG创建程序成本的报告.
- 为了比较AVF和AVG程序之间的报告成本.
主要方法:
- 对报告AVF或AVG创建的每程序成本的研究进行系统审查.
- 用GDP通缩率调整为通货膨胀的成本数据,并通过PPP转换为2021年美元.
主要成果:
- 报告的动脉静脉通道创建程序成本存在重大差异.
- 数据主要依赖于追溯观察,而不是前性处理意图数据.
- 费用经常被报告而不是真正的成本,总成本计算方法比微成本计算更为普遍.
结论:
- 目前,对血管接入手术的准确成本效益分析是有限的.
- 未来的微成本研究对于了解成本驱动因素至关重要.
- 改进成本评估对于优化血管接入干预措施至关重要.
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