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对慢性阻塞性肺病 (COPD) 的查和病例发现的经济评估:系统性审查

Yiwen Fan¹, Qiushi Chen², Hexi Sun³

¹Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.

NPJ primary care respiratory medicine

|January 21, 2026

概括

慢性阻塞性肺病 (COPD) 的查可能具有成本效益,特别是在高风险人群中. 然而,各种研究方法限制了对不同COPD查策略的直接比较.

科学领域:

公共卫生公共卫生
卫生经济学卫生经济学
呼吸系统医学呼吸系统医学

背景情况:

慢性阻塞性肺病 (COPD) 给全球健康和经济带来了重大挑战.
通过查和病例发现进行早期诊断和管理对于减轻COPD的影响至关重要.
了解这些战略的经济影响对于政策和实践至关重要.

研究的目的:

系统地审查和比较COPD查和病例发现策略的经济评估.
综合各种COPD检测方法的成本效益,预算影响和成本分析的发现.

主要方法:

在主要数据库 (PubMed,EMBASE,Cochrane,NHS经济) 进行了全面的文献搜索,截至2025年4月.
包括的研究报告了COPD查/病例发现的经济结果,包括经验和建模方法.
数据提取的重点是研究设计,人口,方法,成本前景和经济措施.

主要成果:

包括18项研究,主要使用问卷和便携式螺旋计进行查.
针对性查策略通常显示出成本效益的潜力,特别是在高风险人群中.
研究设计和结果测量的显著异质性限制了评估策略之间的直接比较.

结论:

慢性肺炎查和病例寻找策略显示出作为具有成本效益的预防措施的前景,特别是在风险群体中.
缺乏标准化的报告和多样化的经济指标阻碍了研究之间的可比性.
需要进一步研究长期经济影响和个性化查方法.

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