Prospective randomized trial using cost-utility analysis of early versus delayed laparoscopic cholecystectomy for acute gallbladder disease

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类别 Primary study
期刊BRITISH JOURNAL OF SURGERY
Year 2009
連結 Pubmed, Health Technology Assessment (HTA), DOI , crd.york.ac.uk
背景：这项随机对照试验比较了早期腹腔镜胆囊切除术与初诊急性胆囊疾病的常规管理的成本 - 效用。 方法：成人入院，胆绞痛或急性胆囊炎的第一集被随机分为早期干预组（36例患者，在入院72小时运作）或常规组（36，择期胆囊切除术3个月以后）。费用是从国家健康服务和社会角度来衡量。质量调整生命年（QALY）收益计算术后1个月。 结果：护理的平均（SD）的总成本为5911磅（2445）为常规组（P = 0.928），早期组和6132磅（3244），平均（SD）的社会成本分别为1322磅（1402）和1461磅（1532）分别为早期和常规组（P = 0.732）。健康的视觉类比量表评分分别为72.94与84.63（P = 0.012），平均（SD）QALY的收益为0.85（0.26）与0.93（0.13）分别为（P = 0.262）。每增加一个QALY获得青睐的传统管理的每QALY 3810磅的成本增量成本上涨。 结论：在这个务实的审判，成本公用事业早期和传统的方法两者相似，但每额外增加的QALY的成本获得青睐的常规管理。
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Epistemonikos ID: 039905d32b631d19409a4bb1b068428684673613
First added on: Jul 09, 2013
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