中国2型糖尿病患者的健康状态实用值:系统性审查和元分析
Xu Jin1, Jiaxuan Shi1, Yujia Hu2
1School of Health Management, Harbin Medical University, Harbin 150081, China.
Diabetes research and clinical practice
|November 1, 2025
概括
中国2型糖尿病患者的健康状态实用值 (HSUV) 估计为0.867. 并发症显著降低了这些值,影响了成本效益分析和慢性疾病管理策略.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 糖尿病研究 糖尿病研究
背景情况:
- 2型糖尿病 (T2DM) 在中国是一个重大的公共卫生挑战.
- 准确的健康状态实用值 (HSUV) 对成本效益分析和有效的慢性疾病管理至关重要.
- 现有的中国T2DM患者的HSUV需要全面的合成,以告知医疗保健政策.
研究的目的:
- 系统地审查和对中国大陆T2DM患者的HSUV现有证据进行元分析.
- 为T2DM患者提供汇总的HSUV估计,并评估并发症和并发症的影响.
- 在中国背景下,为成本效益分析提供信息,并指导慢性疾病管理策略.
主要方法:
- 在2025年4月之前对五个主要数据库进行系统的文献搜索,遵守PRISMA指南.
- 包括35项报告HSUV的研究T2DM患者,并发症和中国的并发症.
- 随机效应模型的元分析,用于使用四项工具进行汇集的HSUV估计和质量评估.
主要成果:
- 中国T2DM患者的汇总HSUV估计为0.867 (95% CI:0.841-0.894).
- 与糖尿病相关的并发症和并发症显著降低了HSUV,从0.673到0.828.
- EQ-5D-3L是最常用的仪器,在不同的估值工具中,实用性估计有显著的变化 (例如,SF-6D:0.725,15D:0.968).
结论:
- 这项研究为中国T2DM患者提供了HSUV的综合分析.
- 了解HSUV异质性对于决策者来说至关重要,以便制定有针对性和有效的医疗保健干预措施.
- 这些发现支持基于证据的决策,为中国的T2DM管理和资源分配提供支持.
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