对扩大抗生素用于治疗没有尾炎的无并发性尾炎的影响分析
Diana Poehler1, Sydney Kirsch1, Matthew Dempsey1
1RTI International, 3040 E. Cornwallis Road, P.O. Box 121, Research Triangle Park, NC 27709, USA.
将尾炎治疗的第一线抗生素使用率扩大到50%,每年可以节省1.92亿美元. 这种方法减少了社会成本,患者费用和尾切除,对健康的影响最小.
科学领域:
- 医学经济学 医学经济学
- 传染病管理 传染病管理
- 外科手术的结果
背景情况:
- 尾炎通常用尾切除术治疗,但大约20%的无并发病例使用抗生素.
- 增加对尾炎的第一线抗生素使用的经济和健康影响尚未完全理解.
研究的目的:
- 模拟扩大尾炎的第一线抗生素治疗从20%增加到50%的经济和健康结果.
- 评估对患者,护理人员,付款人和社会总成本的影响.
主要方法:
- 使用决策树模型来模拟增加抗生素利用的影响.
- 该模型评估了成本,尾切除率,错过的工作时间和健康结果.
主要成果:
- 将抗生素摄入量提高到50%预计将使社会总成本减少1.92亿美元,主要是由于初始治疗成本减少了4.93亿美元.
- 预计患者和护理人员的自付费用将减少1800万美元,尾切除术减少27,410次,失业工作时间减少639,682小时.
- 预计对患者健康结果的负面影响最小.
结论:
- 扩大全国使用抗生素作为尾炎的第一线治疗,可以为患者,纳税人和社会节省大量成本.
- 这一策略也可能减少尾切除术的数量,相关并发症和工资损失.
- 向抗生素治疗的转变显示出在尾炎治疗中提高经济效率的潜力,而对健康的不利影响是可以忽略不计的.
更多相关视频
08:33Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
11:17Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...
Drugs for Treatment of Ulcerative Colitis in IBD
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
