患有鼻息肉的慢性鼻炎手术的并发症和经济负担:使用瑞典注册数据的观察性队列研究
Petter Olsson1, Christoph Abé2,3, Maija Wolf4
1Division of Ear, Nose, and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
概括
鼻手术 (SS) 后的并发症影响8.5%的患有鼻息肉的慢性鼻炎 (CRSwNP) 患者,增加了修复手术风险和医疗保健费用. 喘是这些结果的关键预测因素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 带有鼻息肉的慢性鼻炎 (CRSwNP) 通常需要鼻手术 (SS).
- 在CRSwNP患者中SS并发症的综合数据有限.
- 了解这些并发症对于患者管理和医疗保健规划至关重要.
研究的目的:
- 估计CRSwNP患者中SS相关并发症的患病率.
- 为了确定修复手术的预测因素.
- 分析医疗保健资源的使用和相关费用后SS.
主要方法:
- 使用瑞典行政登记数据的观察队列研究.
- 对患者特征,并发症率和修复手术概率的分析.
- 与对照组相比,对医疗保健资源利用率和成本的评估.
主要成果:
- 在9178名CRSwNP患者中,8.5%患有SS并发症;喘是常见的并发症.
- 在4年内进行修复手术的概率为12%;年龄较小,先前的并发症和喘是预测因素.
- 斯斯患者的医疗保健费用较高 (13,865欧元与7,088欧元),并发症和修复手术增加了费用.
结论:
- 这项研究提供了对CRSwNP患者特征和SS并发症的关键见解.
- 确定了预测修复手术和医疗保健成本增加的关键因素.
- 突出了与CRSwNP患者SS相关的重大经济负担.
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