非传染性尿道炎管理的经济负担和成本效益:系统性审查
Aswen Sriranganathan1, Andrew Mihalache2, Justin Grad3
1Faculty of Medicine, University of Ottawa, Ontario, Canada.
Ocular immunology and inflammation
|January 8, 2025
概括
非传染性脑膜炎 (NIU) 对医疗保健经济产生重大影响,特别是对盲人患者和接受高级治疗的患者. 成本效益因疗法而异,在像阿达利姆巴这样的治疗中看到了潜在的益处.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
背景情况:
- 非传染性眼膜炎 (NIU) 是一种慢性炎症性眼病,对医疗保健有重大影响.
- 了解NIU管理的经济负担和成本效益对于资源分配和患者护理至关重要.
研究的目的:
- 评估与非传染性脑膜炎 (NIU) 相关的经济负担.
- 评估NIU的干预和管理策略的成本效益.
主要方法:
- 通过使用Medline,Embase和Scopus数据库进行了系统的文献审查,直到2023年3月.
- 使用乔安娜·布里格斯研究所的批判性评估工具评估了偏见风险.
- 包括的研究包括经济负担,成本效益和成本效益分析.
主要成果:
- 对NIU的年度直接医疗费用从16,428美元到134,135美元不等,对失明患者来说显著更高.
- 治疗的直接医疗费用各不相同:皮质类固醇 (19,497美元),免疫抑制剂 (29,979美元) 和生物药物 (45,830美元).
- 成本效益分析表明,像阿达利穆马布这样的治疗方法有前途,取决于价格和医疗保健系统因素.
结论:
- 美国国立大学对经济负担很大,尤其是对视力损失患者和需要先进治疗的患者.
- 证据主要来自西方国家;在非西方化的地区需要进一步的研究,以获得全球视角.
- 成本效益受到治疗成本,支付意愿门和医疗保健系统变化的影响.
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