美国抗治疗抑郁症的psilocybin辅助治疗:基于模型的成本效益分析
Anton L V Avanceña1,2, Linh Vuong3, James G Kahn4,5,6
1Health Outcomes Division, College of Pharmacy, The University of Texas at Austin, Austin, TX, USA. antonlv@utexas.edu.
Translational psychiatry
|August 29, 2025
概括
在治疗耐药性抑郁症 (TRD) 时, 松素辅助治疗 (PAT) 具有潜在的经济价值, 需要进一步的研究来证实长期的有效性并降低PAT费用.
科学领域:
- 精神病学与心理健康
- 健康经济学
- 药物经济学
背景情况:
- 大型抑郁症 (MDD) 具有治疗耐药性 (TRD) 提出了重大挑战.
- 在早期试验中,Psilocybin辅助疗法 (PAT) 显示出降低TRD症状的前景.
- 对TRD的标准治疗包括药物治疗,心理治疗,ECT和胺.
研究的目的:
- 与SOC相比,评估PAT作为TRD第三线治疗的成本效益.
- 从医疗保健和社会角度分析PAT在12个月的经济价值.
主要方法:
- 使用个人级别的概率模拟模型.
- 该模型模拟了接受SOC和PAT的美国成年人.
- 关键指标包括总成本,质量调整寿命年 (QALY) 和增量成本效益比率 (ICER).
主要成果:
- PAT导致0.031额外的QALY和3639美元的成本高于SOC,产生117,517美元/QALY的ICER.
- 在$150,000/QALY的门,PAT的成本效益概率为75%.
- 成本效益对PAT的价格非常敏感,在3000美元的概率为95%,在1万美元的概率为1%.
结论:
- 当治疗总成本为5000美元或更低时,PAT可能会提供经济价值.
- 降低PAT成本对于提高成本效益至关重要.
- 需要进一步研究PAT对维持缓解和预防复发的长期疗效.
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