在局部和全身麻醉下进行的跨关前列腺活检:成本效益分析
Matthew J Roberts1,2,3, Shiksha Arora4, Henry H Yao5,6
1Department of Urology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
BJU international
|April 4, 2025
概括
局部麻醉 (LA) 跨膜前列腺活检 (TPB) 比一般麻醉 (GA) TPB更具成本效益. 这种方法可以为医院和社会节省成本,而不会影响活检的准确性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 甲经前列腺活检 (TPB) 是前列腺癌的关键诊断工具.
- 麻醉的选择 (局部或全身麻醉) 影响手术成本和患者的康复.
- 估计TPB不同麻醉方法的成本效益对于医疗保健资源分配至关重要.
研究的目的:
- 为了比较局部麻醉 (LA) TPB与全身麻醉 (GA) TPB的成本效益.
- 从医院/卫生系统和社会角度评估成本.
- 评估对癌症检测率和患者返回工作时间表的影响.
主要方法:
- 一项前性试点研究包括80名根据偏好接受LA或GA TPB的患者.
- 成本效益分析使用决策树模型,包括癌症检测,外科手术期间的因素和返回工作的数据.
- 经济建模包括消耗品,设备和人员的成本,并进行了敏感性分析.
主要成果:
- 在LA和GA TPB组之间,临床参数和癌症检测率相似.
- LA TPB导致程序和恢复时间显著缩短.
- 据报道,LA TPB显著节省了成本 (从医院角度来看,约959澳元,从社会角度来看,约1639澳元).
结论:
- 局部麻醉性跨关节前列腺活检是医疗保健系统和社会节省成本的策略.
- 这种LA方法不会影响TPB的诊断准确性.
- 实施LA TPB可以提高效率,降低经济负担,而不会影响临床结果.
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