实施综合老年病学评估的成本效益分析加强了对大动脉动脉瘤途径的共同决策
David Buxton1,2, Andy Healey3, Bijan Modarai4,5
1Department of General Medicine, Alfred Health, Melbourne, Victoria, Australia.
Age and ageing
|December 19, 2025
概括
在大动脉动脉瘤修复途径中实施综合老年评估 (CGA) 与共享决策 (SDM) 降低了成本. 这种方法改善了患者的选择,导致了部门的显著节省和更好的结果.
科学领域:
- 血管外科 血管外科
- 老年医学 老年医学
- 卫生经济学 卫生经济学
背景情况:
- 大动脉动脉瘤修复越来越多地被认为是脆弱的患者.
- 确定适合手术的候选人是一项挑战.
- 综合老年评估 (CGA) 和共享决策 (SDM) 可以改善患者的选择和结果.
研究的目的:
- 模拟将通用CGA增强SDM实施到标准的手术前途的边际成本影响.
- 评估在大动脉动脉瘤修复中改善患者选择的成本效益.
主要方法:
- 开发了一个基于决策的模型来比较净成本.
- 两个场景使用了当地和国家数据.
- 进行了敏感性和平衡分析.
主要成果:
- 通过增加非运营管理的节约来抵消CGA成本.
- 每个推的成本效益估计为821英-907英.
- 手术管理的2.9%-3.1%降低抵消了干预成本.
结论:
- 在大动脉动脉瘤通路中,常规CGA增强SDM降低了部门总成本.
- 这种综合方法优化了资源分配.
- 通过CGA和SDM改进患者选择是具有成本效益的.
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