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成年脊柱形的流行率和经济负担在美国大型商业支付人口中

Jayme C B Koltsov¹, Stacey J Ackerman², Kelly H McFarlane¹

¹Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA, USA.

ClinicoEconomics and outcomes research : CEOR

|October 9, 2025

概括

成年脊柱形 (ASD) 影响了美国商业保险人口的0.50%,造成了巨大的成本. 对于ASD的手术和非手术治疗都构成了相当大的经济负担,突出了改善非手术选择的需要.

科学领域:

脊柱外科手术脊柱外科手术
卫生经济学卫生经济学
流行病学流行病学

背景情况:

成年脊柱形 (ASD) 在医疗保健中构成了越来越大的挑战.
了解ASD的经济影响对于资源配置和治疗策略的制定至关重要.

研究的目的:

为了评估成年人脊柱形 (ASD) 在美国大型商业支付人群中的患病率.
从付款人和社会角度确定与ASD相关的经济负担.

主要方法:

利用了Merative Marketscan商业数据库 (2016-2022年) 对21-64岁的患有自闭症诊断的患者.
计算的患病率和分析的费用,对于患者与门诊ASD遭遇和没有先前的脊椎手术.
从付款人和社会角度评估成本,包括利用率和支出率.

主要成果:

在受研究的人群中,每年的自闭症患病率为0.50%.
每年与脊柱相关的支付人支出平均为每名患者7,619美元,总计每10万受益人380万美元.
每年与脊柱相关的社会支出平均为每名患者8,759美元,相当于美国商业保险人口的62亿美元.
尽管手术率低,但手术占经济负担的50%以上.

结论:

成年脊柱形 (ASD) 给人带来了巨大的经济负担,包括手术和非手术护理.
通过开发改进的非手术治疗方法,有很大的机会提高ASD护理的价值.
减少对昂贵的外科干预和无效的非手术管理的依赖是必不可少的.

关键词:

成年人脊柱形症的成年人费用费用费用费用费用费用费用费用经济负担经济负担融合融合融合融合融合融合融合融合融合融合医疗保健资源利用率医疗保健资源利用率付款人的角度付款人的角度支付方式支付方式支付方式社会视角社会的视角

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