中国药物经济学2024，Vol.19Issue(2)：21-25,5.DOI:10.12010/j.issn.1673-5846.2024.02.004
基于决策树模型的一次性胃肠镜的经济学评价
Economic Evaluation of Disposable Gastrointestinal Endoscope based on Decision Tree Model
朱致旭 1孙辉 2严俊涛 1李福明 1彭宇欣 1陈英耀 1魏艳1
作者信息
- 1. 复旦大学公共卫生学院,上海 200032||国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海 200032
- 2. 复旦大学公共卫生学院,上海 200032||国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海 200032||上海市卫生和健康发展研究中心,上海 201199
- 折叠
摘要
Abstract
Objective To systemically evaluate the economics of using EndoFresh disposable gastrointestinal endoscope compared to conventional gastrointestinal endoscopes for diagnosis and treatment of gastrointestinal diseases,and provide evidence-based recommendations to government and clinical decision-making.Methods A decision tree model was established for cost-effectiveness analysis between the EndoFresh disposable gastrointestinal endoscope and conventional reusable endoscope,with effectiveness parameters and cost parameters sourced from literature and expert consultation.The uncertainty of model parameters was analyzed by single-factor sensitivity analysis,and the simulated time span was 30 days.Results The incremental cost-effectiveness ratio(ICER)for EndoFresh single-use gastrointestinal endoscopy treatment compared to conventional reusable endoscopy treatment in the general patient population was 304255.8.The risk of secondary infection in patients undergoing conventional endoscopy had the greatest impact on the robustness of the results.In susceptible patients,the ICER for EndoFresh single-use gastrointestinal endoscopy treatment compared to conventional reusable endoscopy treatment was 216613.7,with the risk of secondary infection in patients undergoing conventional endoscopy having the greatest impact on the robustness of the results.Conclusion Taking 3 times China's GDP per capita in 2021 as the threshold,EndoFresh one-time gastroenteroscopy is more cost-effective than conventional gastroenteroscopy in susceptible patient groups.关键词
一次性胃肠镜/决策树模型/成本-效果分析Key words
Disposable gastrointestinal endoscope/Decision tree model/Cost-Effectiveness analysis分类
医药卫生引用本文复制引用
朱致旭,孙辉,严俊涛,李福明,彭宇欣,陈英耀,魏艳..基于决策树模型的一次性胃肠镜的经济学评价[J].中国药物经济学,2024,19(2):21-25,5.
