提高随机试验的患者招募率可能具有成本效益:从RECOVERY试验中对德克萨的案例研究
Athanasios Gkekas1, Sarah J Ronaldson2, Adwoa Parker1
1York Trials Unit, Department of Health Sciences, University of York, York, United Kingdom.
PloS one
|April 1, 2025
概括
改善像RECOVERY试验这样的临床试验中的患者招募,可以显著降低医疗保健成本. 在COVID-19患者中更快地招募德克萨米他治疗可能会节省数百万,突出显示试验效率的经济影响.
科学领域:
- 卫生经济学 卫生经济学
- 临床试验管理 临床试验管理
- 在COVID-19研究研究中.
背景情况:
- 该RECOVERY试验评估了住院患者严重COVID-19结局的治疗方法.
- 德克萨米他证明了临床益处,但只有15%的符合条件的患者被招募.
- 招募速度较慢延迟了有效治疗方法的广泛采用.
研究的目的:
- 估计增加RECOVERY试验招聘率从15%增加到50%的成本效益.
- 分析在COVID-19中使用德克萨米他更快地注册患者的经济影响.
主要方法:
- 一个决策树模型评估了甲与没有甲的成本效益.
- 成本效益分析将试验后的实践与之前的临床实践进行了比较.
- 额外的研究护士的成本被考虑在更快的招聘分析中.
主要成果:
- 更快的招聘可能会为德克萨米他带来超过1390万英的增量净收益.
- 这凸显了延迟采用成本有效的治疗方法造成的重大经济损失.
- 模型灵敏度分析证实了这些发现的可靠性.
结论:
- 随机试验中患者的招募速度缓慢,会产生重大的经济后果.
- 推迟引入具有成本效益的治疗方法会影响医疗保健系统.
- 优化试验招聘对于及时的医疗保健进步至关重要.
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