低收入和中等收入国家慢性阻塞性肺病和结核病后遗症的经济负担:基于系统审查和元分析编制的数据库
Yuling Lin1, Alexandra Walker2,3, Marguerite Batta2,3
1Institute of Global Health, University of Geneva, Geneva, Switzerland.
BMJ public health
|February 28, 2025
概括
这一综述强调了慢性阻塞性肺病 (COPD) 和结核病 (TB) 在低收入和中等收入国家带来的重大经济负担. 需要对结核病后的疾病成本进行更多的研究,特别是在非洲和低收入国家.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性阻塞性肺病 (COPD) 和结核病 (TB) 是全球主要的健康挑战.
- 这些疾病给经济带来了巨大的负担,特别是在低收入和中等收入国家 (LMICs).
- 现有的证据表明,这些地区的COPD和结核病后连续症相关的成本有限.
研究的目的:
- 系统地审查和总结有关COPD经济成本的现有证据.
- 评估LMIC中结核病 (TB) 治疗后的疾病的经济负担.
- 确定当前研究环境中关于COPD和结核病后疾病的成本的差距.
主要方法:
- 对2013年1月至2022年3月期间发表的研究,在多个电子数据库中进行了系统的文献搜索.
- 研究进行了资格选,并提取和验证了成本数据.
- 对与住院,药物和门诊访问有关的数据进行了元分析.
主要成果:
- 该审查包括128项成本研究和65项经济负担研究,主要来自亚洲,东欧和拉丁美洲.
- 对COPD的直接医疗费用差异很大,从印度每次住院26美元到墨西哥每年每位严重患者2694美元.
- 关于结核病后后果成本的数据很少,非洲和低收入国家的研究有限. 与中等收入国家相比,中低收入国家的成本较低. 吸烟和空气污染对经济负担作出了重大贡献.
结论:
- 慢性肺炎和后结核病 (CD-CPTB) 的成本数据库提供了当前证据的全面概述.
- 进一步的研究对于了解后结核病的经济影响至关重要.
- 未来的研究应该优先考虑在非洲和低收入国家收集数据,因为数据缺口很大.
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