Đánh giá tính hiệu quả chi phí của phương pháp thắt động mạch, thắt ống dẫn và thắt ống dẫn hỗ trợ bằng stent trong điều trị dị dạng mạch não chưa vỡ
Tóm tắt
Thông tin về chi phí và hiệu quả của một phương pháp điều trị cụ thể có liên quan đến việc ra quyết định và các nhà cung cấp dịch vụ y tế. Nghiên cứu này so sánh tính hiệu quả chi phí của Woven Endobridge (WEB) mới để điều trị dị dạng mạch não với phương pháp thắt ống dẫn thông thường và thắt ống dẫn hỗ trợ bằng stent (SAC) từ góc độ của Bảo hiểm Y tế bắt buộc tại Đức.
Một mô hình mô phỏng mức độ bệnh nhân đã được xây dựng để mô phỏng bệnh nhân 55 tuổi có dị dạng động mạch não giữa không vỡ (kích thước: 3–11 mm) xem xét điều trị bằng WEB, thắt ống dẫn hoặc SAC về tỷ lệ mắc bệnh, kết quả chụp mạch, tái điều trị, chi phí thủ thuật và phục hồi chức năng, cũng như tỷ lệ vỡ. Tỷ lệ hiệu quả chi phí bổ sung (ICERs) được tính toán dưới dạng chi phí mỗi năm sống điều chỉnh chất lượng (QALYs) và chi phí mỗi năm không có tỷ lệ mắc bệnh thần kinh. Bất định được khám phá qua phân tích nhạy cảm xác định và xác suất. Phần lớn dữ liệu được thu thập từ các nghiên cứu đa trung tâm tiềm năng và phân tích tổng hợp của các nghiên cứu không ngẫu nhiên.
Từ khóa
#tính hiệu quả chi phí #Woven Endobridge #dị dạng mạch não chưa vỡ #thắt ống dẫn #thắt ống dẫn hỗ trợ bằng stentTài liệu tham khảo
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