加强韩国血压分类的成本效益:比较2017年ACC/AHA和KSH指南
KyungYi Kim1, Min Ji Hong2, Bomgyeol Kim3
1Department of Healthcare Management, Graduate School of Public Health, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Clinical hypertension
|November 1, 2024
概括
在韩国采用2017年ACC/AHA高血压指南是具有成本效益的,可能减少心血管疾病 (CVD) 事件. 这种方法为公众健康带来了重大益处,并支持有关血压目标的政策决策.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 预防心血管疾病 预防心血管疾病
背景情况:
- 高血压显著增加心血管疾病 (CVD) 的风险,死亡率上升.
- 韩国目前遵循韩国高血压学会 (KSH) 的指导方针 (140/90 mmHg).
- 2017年ACC/AHA指南建议使用较低的值 (130/80 mmHg).
研究的目的:
- 评估在韩国采用2017年ACC/AHA高血压指南的成本效益.
- 估计早期血压治疗对降低心血管疾病风险的影响.
- 根据高血压管理指南的政策决策.
主要方法:
- 采用了10年马尔科夫状态过渡模拟模型.
- 用质量调整的寿命年 (QALYs) 来衡量有效性.
- 从医疗保健系统的角度来看,分析对比了来自各年龄组的1万名个人 (20至80岁) 的队列.
主要成果:
- 基础情况的增量成本效益比率 (ICER) 是KRW 1,328,395/QALY获得.
- 根据年龄,ICER有所不同,年轻人显示负ICER (节省成本),老年人显示更高的积极ICER.
- 所有场景均低于支付意愿值,成本效益概率为98.0%.
结论:
- 通过2017年ACC/AHA指南预计将在所有韩国年龄组中具有成本效益.
- 实施这些指南可能会导致更早的高血压治疗和降低心血管疾病发病率.
- 调查结果为考虑修改指南的政策制定者提供了关键的经济数据.
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