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在中国人口中低剂量计算机断层扫描肺癌查的成本效益分析

Youjian Yao¹, Yan Jin², Caifa Ji¹

¹School of Public Health, Hainan Medical University, Haikou, Hainan, China.

Scientific reports

|October 28, 2025

概括

中国的最佳肺癌查策略是每年从55岁开始进行低剂量计算机断层扫描 (LDCT) 查. 这种方法对中国人口来说是具有成本效益的.

科学领域:

公共卫生公共卫生
卫生经济学卫生经济学
在瘤学瘤学.

背景情况:

肺癌仍然是中国的重大健康负担.
通过查进行早期检测可以改善患者的治疗结果,并降低医疗保健成本.
低剂量计算机断层扫描 (LDCT) 显示了肺癌查的前景.

研究的目的:

评估LDCT肺癌查在中国的经济效益.
为了确定最佳的开始年龄和查间隔用于LDCT查.
为中国人口确定最具成本效益的肺癌查策略.

主要方法:

使用中国的流行病学和成本数据开发了马尔科夫模型.
对40至80岁的个体进行了模拟,其起始年龄 (40至55岁) 和查间隔 (每年,每两年,每三年) 不同.
增量成本效益比率 (ICER) 是主要的结果指标,与中国2019年人均GDP作为支付意愿门相比较.

主要成果:

最低发达国家肺癌查的最佳开始年龄被确定为55岁.
从55岁到80岁,每三年进行一次查是最具成本效益的策略.
敏感性分析证实了这一战略的成本效益的稳定性.

结论:

从55岁到80岁进行三年一次的LDCT查是中国人群推的肺癌查策略.
这一策略具有成本效益,ICER低于已确定的支付意愿门.
在经济分析中,LDCT查的成本是最有影响力的因素.

关键词:

对成本效益的分析.低剂量的计算机断层扫描.肺癌是一种肺癌.马尔科夫模型的模型查检查查检查查检查

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