抗生素的成本效益分析与未复杂急性尾炎的手术治疗相比
Napaphat Poprom1,2, Oraluck Pattanaprateep3, Chumpon Wilasrusmee4
1Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Rama VI Road, Bangkok, 10400, Thailand.
Scientific reports
|April 29, 2025
概括
对无并发性尾炎的抗生素治疗比手术更具成本效益. 这项研究发现,与腹腔镜或开放尾切除相比,抗生素提供了更好的成本效益和节省.
科学领域:
- 一般外科 整体外科
- 卫生经济学 卫生经济学
背景情况:
- 尾炎是一种常见的手术紧急情况.
- 抗生素治疗正在成为手术的保守替代方案.
研究的目的:
- 为了比较抗生素治疗的成本效益与手术尾切除 (腹腔镜和开放).
- 评估与健康有关的生活质量和与不同尾炎治疗相关的成本.
主要方法:
- 前性研究设计.前性研究设计.
- 社会视角增量成本效益比率 (ICER) 在1年内进行计算.
- 为进行比较而进行的概率灵敏度分析.
主要成果:
- 抗生素治疗证明了显著的成本节约,ICER为-113973.09美元,每一年的质量调整后生命年.
- 与手术治疗相比,抗生素被发现是一种成本更低,成本效益更高的选择.
结论:
- 抗生素治疗是不复杂的急性尾炎的经济有效的替代方案.
- 最初考虑抗生素治疗,特别是在资源有限的环境中,以潜在地降低并发症率.
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