基于成本和有效性的甲状腺成像报告和数据系统
Sonay Aydin1, Ali Osman Gulmez1, Kemal Bugra Memis1
1Department of Radiology, Erzincan Binali Yildirim University, Erzincan, Turkey.
Journal of medical ultrasound
|September 29, 2025
概括
甲状腺成像报告和数据系统 (TIRADS) 减少了不必要的细针吸收活检 (FNAB),降低了患者的成本和痛苦. 这项研究评估了TIRADS在第三级护理环境中的有效性.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 评估甲状腺成像报告和数据系统 (TIRADS) 的成本效益.
- 评估TIRADS对细针吸收活检 (FNAB) 和超声波检查数量的影响.
- 在第三级医疗机构进行的研究.
研究的目的:
- 为了评估TIRADS的成本效益.
- 分析TIRADS实施后FNAB和超声波检查的减少情况.
- 评估TIRADS对患者结果和医疗保健资源利用的影响.
主要方法:
- 对TIRADS实施前后50天间隔的比较分析 (2022年10月10日).
- 计算甲状腺超声波 (US) 和FNAB手术的数量.
- 分析不同人口群体 (性别,年龄) 的活检率.
主要成果:
- 这项研究共包括了1982名患者.
- 在TIRADS实施后,整体活检率下降 (从11.1%降至8.1%).
- 在TIRADS前的时期,男性和35-50岁的个体的活检率显著更高.
结论:
- TIRADS有效地减少了不必要的活检.
- 实施TIRADS可以减轻患者潜在的心理痛苦,负担和财务开支.
- TIRADS提供了一种成本效益高的甲状腺结节评估方法.
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