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对高风险肺癌手术的多模式预康复计划的成本评估
Tahereh Najafi Ghezeljeh1, Ah-Reum Cho2, André Guigui3
1Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada,.
The Journal of thoracic and cardiovascular surgery
|February 27, 2026
概括
多模式预康复通过降低并发症和住院时间,显著降低了肺癌手术患者的成本. 这种干预证明具有经济效益,支持其在标准外科手术期间的护理中使用.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 在外科手术期间的医学.
背景情况:
- 多模式预康复显示出临床益处,但其经济影响,特别是肺癌手术,尚未得到充分研究.
- 接受肺癌手术的高风险患者代表了医疗保健成本的重大负担.
研究的目的:
- 评估多式预康复在接受肺癌手术的高风险患者的经济影响.
- 确定将预康复整合到标准外科手术后护理中的成本效益.
主要方法:
- 对284名接受肺部手术的成年人进行了成本分析.
- "自下而上的微成本和每日费用分析估计了60天的术后费用和计划实施费用.
- 成本以2024加拿大美元进行分析.
主要成果:
- 实施多式联络预康复计划每名患者需要387加元的费用.
- 预康复与721,901加元的净成本节约有关 (每名患者5,084加元).
- 主要的节约驱动因素包括减少并发症 (44.6%vs. 64.7%),ICU入院 (2.1%vs. 8.4%),以及再入院率 (6.3%vs.13.3%).
结论:
- 多模式预康复是对高风险肺癌手术患者的临床有效和经济有益的干预措施.
- 这些发现支持将多式预康复整合到标准的外科手术期间护理途径中.
- 预康复提供了显著的成本节约,通过改善患者的结果和减少资源利用.
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