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在初级全关节和膝关节关节整形手术中,创伤内部的万科米辛粉具有节省成本的作用

Darius L Lameire¹, Neil Askew², Iqbal Multani³

¹Division of Orthopaedic Surgery, University of Toronto, Toronto, Canada. darius.lameire@mail.utoronto.ca.

International orthopaedics

|March 20, 2025

概括

创伤内万科米辛粉 (IVP) 是对全关节整形术 (TJA) 标准护理的节省成本的补充,减少周围假肢关节感染 (PJI) 并平均每患者节省260.38美元. 这种方法应考虑用于初级TJA程序.

科学领域:

整形外科手术整形外科手术
卫生经济学卫生经济学
预防传染病预防传染病

背景情况:

周围假肢关节感染 (PJI) 是全面关节整形术 (TJA) 后的一个重要并发症.
标准护理 (SOC) 协议旨在最大限度地降低感染风险,但需要进一步寻求具有成本效益的附加措施.
伤口内万科米辛粉末 (IVP) 是预防PJI的潜在辅助疗法.

研究的目的:

评估伤口内万科米辛粉末 (IVP) 作为标准护理 (SOC) 的辅助在接受全关节整形术 (TJA) 的患者的成本效益.
从美国付款人的角度评估经济影响.

主要方法:

开发了一个使用决策树的决策分析模型来比较IVP + SOC与单独的SOC.
关于成本和临床有效性的数据来源于已发表的文献.
进行了敏感性和值分析,以评估研究结果的可靠性.

主要成果:

基础病例分析表明,IVP + SOC导致每名患者平均节省260.38美元的成本.
对关节整形术 (THA) 和膝关节整形术 (TKA) 的场景分析显示,每名患者的成本节约分别为241.50美元和279.27美元.
概率分析表明,IVP + SOC在99.26%的代中节省了成本.

结论:

伤口内万科米辛粉末 (IVP) 是一种成本效益高,而且确实节省成本,是标准护理 (SOC) 的补充,用于减少初级TJA的PJIs.
每位患者平均节省的成本估计为260.38.8美元.
建议考虑对初级TJA进行局部范科米辛的管理,同时考虑机构感染率和修订成本.

关键词:

关节质整术是指关节质整术.费用费用费用费用费用费用费用粉末粉末粉末粉末专题专题的专题的范科米辛是一种药物.

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