在中国注射药物使用者中实现C型肝炎微消除:一个动态网络建模研究
Ying Chen1, Yun Bao2, Mengxia Yan1
1Department of Pharmacy, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, 241 Huaihai West Road, Shanghai, 200030, China.
Infectious diseases and therapy
|December 11, 2024
概括
为了在中国消除型肝炎病毒,需要在注射毒品的人群中进行大量的查和治疗. 25%的查和95%的治疗策略是可行的,节省成本,改善生活质量.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 卫生经济学 卫生经济学
背景情况:
- 世界卫生组织 (WHO) 已经为消除C型肝炎病毒 (HCV) 设定了全球目标.
- 注射毒品的人 (PWID) 是中国HCV传播和消除工作的关键人口.
研究的目的:
- 估计在中国的PWID中消除HCV所需的查和抗病毒治疗率.
- 确定最具成本效益的策略,以实现世卫组织在这个人群中的HCV目标.
主要方法:
- 动态社交网络模型被用来模拟HCV传播和疾病进展.
- 从医疗保健的角度进行了成本效益分析.
主要成果:
- 实现世卫组织的死亡率目标需要至少10%的查和治疗;发病率目标需要25%.
- 最佳策略包括25%的查和95%的治疗,大大降低了成本 (-85873.38美元),并增加了质量调整后的寿命年数 (+24.66).
- 这种占主导地位的策略显示成本效益比为每QALY.3482.29美元.
结论:
- 在中国,注射药物的人群中,可以消除C型肝炎病毒.
- 提出的查和治疗策略既可行又节省成本.
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