诊断延迟与轴性脊柱关节炎的经济和临床负担之间的关联:一个多中心的回顾性观察性研究
Laura Berbel-Arcobé1, María Aparicio2, Joan Calvet3
1Rheumatology Department, Bellvitge University Hospital, Hospitalet de Llobregat, Barcelona, Spain.
Rheumatology and therapy
|January 13, 2025
概括
在轴性脊柱关节炎 (axSpA) 中,较长的诊断延迟在诊断后三年内显著增加了57%的医疗保健成本. 优先考虑早期的axSpA诊断对于改善患者的治疗结果和减少医疗保健支出至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 卫生经济学 卫生经济学
背景情况:
- 轴性脊椎关节炎 (axSpA) 是一种慢性炎症性疾病,影响生活质量.
- 在axSpA患者中,医疗保健资源利用率 (HRU) 较高.
- axSpA诊断延迟的经济影响尚不清楚.
研究的目的:
- 研究axSpA患者的诊断延迟和医疗费用之间的关联.
- 量化三年来延迟 axSpA 诊断带来的经济负担.
主要方法:
- 在西班牙对82名成年 axSpA 患者进行了回顾性观察性研究.
- 在诊断时收集的社会人口统计,临床变量和HRU数据.
- 从HRU和生产力损失中估计的直接和间接医疗保健成本.
主要成果:
- 平均诊断延迟时间为10.1年.
- 总的3年医疗保健费用平均为每名患者25812.6欧元.
- 诊断延迟超过5.4年的患者的总费用增加了57% (31,717.7欧元与20,188.7欧元相比),并且疾病活性更高.
结论:
- axSpA的高诊断延迟与诊断后医疗保健成本的增加有关.
- 减少诊断延迟对于改善患者结果和降低长期医疗保健支出至关重要.
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