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Bài tổng quan hệ thống: Ý nghĩa và khả năng áp dụng của kết quả từ các đánh giá kinh tế y tế về thay van động mạch chủ qua da
Tóm tắt
Bài viết tổng quan các phân tích kinh tế y tế về thay van động mạch chủ qua da (TAVI). Tìm kiếm tài liệu có hệ thống về các đánh giá kinh tế y tế của TAVI so với liệu pháp tiêu chuẩn (liệu pháp thuốc kết hợp với phương pháp mở van qua bóng) ở những bệnh nhân không thể phẫu thuật và so với thay van động mạch chủ phẫu thuật ở những bệnh nhân có thể phẫu thuật với mức độ nguy cơ phẫu thuật trung bình đến cao. Các tỉ lệ hiệu quả chi phí bổ sung đã được điều chỉnh theo mức giá của Áo cho năm 2016. Tất cả các nghiên cứu được đưa vào đều được đánh giá về mức độ liên quan và chất lượng. 15 đánh giá kinh tế y tế đã được xác định. Trong số đó, tám phân tích được đánh giá là đủ liên quan và có chất lượng tốt. Kết quả cho thấy, TAVI so với liệu pháp tiêu chuẩn chỉ có hiệu quả chi phí trong hai trong sáu phân tích. So với thay van động mạch chủ phẫu thuật, có những kết quả gây tranh cãi. Các phân tích độ nhạy cho thấy rằng việc xem xét chi phí điều trị các biến chứng nghiêm trọng (như đột quỵ) cũng như chi phí của quy trình TAVI có thể ảnh hưởng cơ bản đến kết quả hiệu quả chi phí.
Từ khóa
#Thay van động mạch chủ qua da #TAVI #đánh giá kinh tế y tế #hiệu quả chi phí #phân tích độ nhạyTài liệu tham khảo
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