由于对巴雷特食道进行内镜查,偶然下游资源利用
Matthew Harbrecht1, Maria E Arasim2, Yue Liu1
1Barrett's Esophagus Program, Division of Gastroenterology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
概括
通过食管胃管透镜 (EGD) 进行巴雷特食管 (BE) 查,由于生物检查和酸抑制等偶然发现,会产生适度的额外费用. 这些资源利用因素应该为未来的成本效益分析提供信息.
科学领域:
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
背景情况:
- 对于巴雷特食道查的成本效益分析 (CEA) 已经存在.
- 这些分析往往将资源利用率排除在食管胃管腺镜检查 (EGD) 期间的偶然发现之外.
研究的目的:
- 量化EGD对BE查期间偶然发现的额外资源利用和成本.
- 通过包括这些以前被忽视的成本,为未来的CEA提供信息.
主要方法:
- 分析了822名年龄在50-79岁的男性患者的长度数据,这些患者正在接受研究EGD进行BE查.
- 使用医疗保险补偿金和药物批发价格来估计成本.
- 资源利用包括活检,酸抑制建议和重复EGDs.
主要成果:
- 近三分之一的患者 (32.4%) 进行了胃活检.
- 15.7%的人被推进行酸性抑制.
- 重复EGD的推率为2.0%,是第二高的加权资源成本.
- 偶然发现的预期额外总成本为每EGD66美元.
结论:
- 在EGD对BE查期间的偶然发现导致资源利用率略有增加.
- 活检和酸抑制是这些额外成本的主要驱动因素.
- 这些发现需要将其纳入未来的BE选CEA.
相关概念视频
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Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
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