查2型糖尿病:对最近的经济评估进行系统审查
Zixuan Jin1, Joshua Rothwell2, Ka Keat Lim3
1School of Life Course & Population Sciences, Faculty of Life Sciences and Medicine/MPH Graduate, King's College London, London, England, UK.
概括
经济评估表明,使用风险评分的2型糖尿病 (T2DM) 查通常具有成本效益. 有针对性的查和扩展的地点提高了价值,但对未来的研究需要全面的报告.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 2型糖尿病 (T2DM) 构成了全球健康的重大负担.
- 经济评估对于评估T2DM选策略的价值至关重要.
- 经济评估的方法质量会影响其可靠性.
研究的目的:
- 系统地审查最近对T2DM查的经济评估.
- 为了确定哪些T2DM选设计提供更好的价值对金钱.
- 评估包含的经济评估的方法质量.
主要方法:
- 对T2DM查 (2010-2023) 经济评估的5个数据库进行系统搜索.
- 包括评估查工具,间隔,位置,年龄,诊断和治疗的研究.
- 使用健康经济学标准共识的方法质量评估 检查清单-扩展.
主要成果:
- 分析了32项经济评估,主要来自高收入国家.
- 单个生物标志物查往往不具有成本效益;基于风险评分的查显示出更好的价值.
- 针对性查和扩展查地点/较低的门往往具有成本效益或占主导地位.
结论:
- T2DM选的成本效益与设计元素有很大差异.
- 基于风险评分的查和有针对性的方法似乎在经济上更有利.
- 未来的经济评估需要更全面的报告,并专注于低收入环境.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.2K
Diabetes: Management and Pharmacotherapy
233
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
233
Diabetes Mellitus: Overview and Type I Subtype
2.4K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.4K
Diabetes: Symptoms, Diagnosis, and Complications
500
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
500
Oral Hypoglycemic Agents: Biguanides and Glitazones
164
Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
164
Carbohydrate Metabolism
10.8K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.8K


