银二胺化物的成本效益取决于空活动:一个决策分析模型
Sharon Hui Xuan Tan1,2, Yi Wang1, Clement Wei Ming Lai2
1Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Caries research
|February 4, 2025
概括
银二胺化物 (SDF) 具有成本效益,用于治疗儿童,特别是在高活性病例中. 对于低活性虫,直接修复是首选的,提供更高的有效性.
科学领域:
- 儿科牙科 儿科牙科
- 牙科公共卫生 牙科公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 评估牙干预措施的成本效益对于公共卫生至关重要.
- 银二胺化物 (SDF) 提供了一种最小的侵入性方法来治疗.
- 将SDF与化 (NaF) 漆和直接修复等传统治疗方法进行比较是必不可少的.
研究的目的:
- 评估SDF与NaF漆和直接修复相比的成本效益.
- 根据不同程度的儿童下活动来分析治疗结果.
- 在新加坡为儿童早期脏病提供最佳治疗策略.
主要方法:
- 使用多中心临床数据采用分析决策树模型.
- 这项研究在12个月的时间内包括了新加坡1-6岁的231,880名儿童.
- 使用增量成本效益比率 (ICER) 和净货币效益 (NMB) 评估了成本效益,同时考虑了虫控制和提取避免.
主要成果:
- 在大多数情况下,SDF效率较低,但比直接恢复更具成本效益.
- 对于高虫活动,SDF显示成本效益的概率很高 (虫控制为99.8%,提取避免为100%).
- 对于较低的虫活动,直接修复被青用于虫控制,SDF具有41.5%的成本效益概率.
结论:
- 银二胺化物 (SDF) 是大多数儿科病例的成本有效策略,特别是那些活动高的病例.
- 直接修复显示出更高的有效性,并推给有较低脏活动的儿童.
- 儿童早期的治疗决策应根据个体活动水平量身定制.
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