与常规成像相比,增强对比度的乳房造影在查后的工作中的成本效益 (RACER试验)
Lidewij M F H Neeter1,2, Marc B I Lobbes3,4,5, Katya M Duvivier6
1Maastricht University Medical Center, Department of Radiology and Nuclear Medicine, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands.
增强对比率的乳房造影 (CEM) 是一个成本效益的诊断策略,用于从乳腺癌查中召回的妇女,显示成本较低和类似的质量调整寿命年 (QALYs). 它对于BI-RADS 0召回特别有效.
科学领域:
- 放射学和医学成像学 医学成像学
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 从乳腺癌查中召回的妇女需要有效的诊断工作.
- 增强对比度的乳房镜像 (CEM) 是传统成像的替代方案.
- 经济评估对于评估新的诊断策略至关重要.
研究的目的:
- 评估CEM与从查中召回的妇女的传统成像相比的成本效益.
- 为了比较CEM和传统成像之间的成本和质量调整寿命年 (QALYs).
主要方法:
- 一个随机对照试验 (RACER试验),比较CEM和传统成像.
- 从医院的角度进行成本效益分析.
- 使用EQ-5D-5L测量与健康相关的生活质量;通过引导分析评估不确定性.
主要成果:
- 通过CEM处理,总成本降低了117欧元,平均成像成本显著降低了130欧元.
- 在CEM (1.2034) 和常规成像 (1.2137) 之间,平均QALY是相似的.
- 在1万欧元的门下,CEM的成本效益概率为53%,在BI-RADS 0召回中,这一概率上升到85%.
结论:
- 乳腺癌查对从乳腺癌查中召回的妇女来说,CEM是一种具有成本效益的诊断策略.
- 与传统成像相比,CEM提供了更低的成本,具有与传统成像相比可比的QALY.
- 应优先考虑BI-RADS 0召回的CEM,并强烈考虑其他召回.
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