TIPS和BRTO用于胃水出血的二次预防的比较成本分析
Warren Clements1,2,3, Abigail Chenoweth4, Salam Findakly4
1Department of Radiology, Alfred Hospital, Melbourne, VIC, 3004, Australia. w.clements@alfred.org.au.
CVIR endovascular
|December 10, 2025
概括
气球封闭逆向透静脉消灭 (BRTO) 显著低于跨内肝移植系统分流 (TIPS) 的成本,用于预防胃水再出血. 这两种干预程序都是澳大利亚二次预防的成本效益较高的选择.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
背景情况:
- 胃水破裂需要二次预防策略.
- 推的干预选择是横内肝移植系统分流 (TIPS) 和气球封闭逆向透静脉消灭 (BRTO).
- 这些二次预防程序的成本效益需要详细分析.
研究的目的:
- 为了生成和比较TIPS和BRTO程序的成本.
- 计算胃水出血的二次预防的成本.
- 通过考虑资源成本,为医疗保健决策提供信息.
主要方法:
- 2017年1月至2024年1月期间接受治疗的患者的成本数据.
- 包括从医疗保健系统的角度看的程序,非程序和病房费用.
- 根据文献进行调整的成本,用于预防再出血的有效性.
主要成果:
- 对于TIPS的中位数总成本为11,922澳元;对于BRTO是3632.3澳元.
- 为防止再次出血而调整的成本: TIPS AUD$14,803与BRTO AUD$3896.3之间的比较.
- BRTO证明了较低的预先程序成本.
结论:
- TIPS和BRTO都是澳大利亚胃水出血二次预防的经济有效选择.
- 与TIPS相比,BRTO的前期程序成本要低得多.
- 资源成本分析对于评估干预性放射学的价值至关重要.
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