肺癌查在巴西高风险人口中的成本效益
Clarissa Baldotto1,2, Wolfgang W Schmidt Aguiar1,3, Francisco Martins Neto3
1Brazilian Group of Thoracic Oncology (GBOT), Porto Alegre, Brazil.
JCO global oncology
|July 23, 2025
概括
使用低剂量计算机断层扫描 (LDCT) 的肺癌查对巴西高危人群来说是具有成本效益的. 这种方法为公共卫生系统中早期检测提供了一个有价值的策略.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 肺癌 (LC) 仍然是全球重要的健康问题.
- 通过查进行早期检测可以改善患者的治疗结果,并减少治疗负担.
- 评估查计划的成本效益对于公共卫生系统的资源配置至关重要.
研究的目的:
- 用低剂量计算机断层扫描 (LDCT) 评估肺癌 (LC) 查的成本效益.
- 在巴西的公共卫生环境中评估这一策略,用于定义的高风险人群.
- 为在巴西实施LC查的政策决策提供信息.
主要方法:
- 利用巴西人口普查和慢性疾病监测数据来估计符合条件的人口规模.
- 使用DATASUS和专家意见分析了患者的旅程和成本.
- 用马尔科夫模型进行经济评估,考虑治疗成本和巴西货币 (R$) 的结果.
主要成果:
- 使用LDCT进行LC查的增量成本效益比率 (ICER) 为每年质量调整后的生命年为133,327雷亚尔元.
- 每个生命年获得的ICER是R$ 9,579.
- 这两个ICER值都低于巴西确定的成本效益值.
结论:
- 在巴西公共卫生系统中,在高风险人群中使用LDCT进行肺癌查是具有成本效益的.
- 这些发现支持将LDCT查纳入符合条件的个人常规医疗保健中.
- 这项研究提供了巴西肺癌查的经济可行性的证据.
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