炎症性肠病手术的成本效益和成本仅研究:一个范围审查
Ira L Leeds1, Arabella Dill-Macky1, Christopher Prien2
1Division of Colon & Rectal Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
The Journal of surgical research
|September 18, 2025
概括
对于炎症性肠病 (IBD) 手术的成本效益研究有限. 需要更多的研究来分析IBD手术干预的成本,并指导患者护理的决策.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 卫生经济学 卫生经济学
背景情况:
- 对炎症性肠病 (IBD) 手术程序的成本效益的研究很少.
- 这种缺乏数据阻碍了关于IBD患者手术干预的知情决策.
- 进行了范围审查,以确定IBD相关手术的现有成本效益分析.
研究的目的:
- 进行与炎症性肠病 (IBD) 相关的手术成本效益分析的文献范围审查.
- 发现有关IBD手术干预措施经济评估的当前研究中的差距.
主要方法:
- 用IBD,手术和成本措施的相关关键词进行了全面的文献搜索.
- 如果报告了与IBD相关的外科干预,并包括成本数据,则将研究纳入.
- 排除了耐火性IBD的医疗与手术干预,并对发现进行了定性综合.
主要成果:
- 确定了7项正式的成本效益研究和55项仅成本研究.
- 成本效益研究主要集中在克罗恩病患者的术后干预 (57.1%) 和手术方法 (42.8%) 上.
- 在增强恢复,机器人手术和儿科IBD手术的成本效益等领域注意到了显著的差距.
结论:
- 关于IBD相关手术护理的成本效益的文献很少.
- 有一个显著的不平衡存在,与成本效益分析相比,只有成本研究的数量更高.
- 有机会增加成本效益分析的应用,以指导IBD手术干预.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
455
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
455
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
574
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
574
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
644
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
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...
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...
644
Appendicitis-II: Diagnostic Studies and Management
511
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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...
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...
511
Inflammatory Bowel Disease IV: Pharmacological Management
528
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
528


