Lancet Glob Health:温州学者研究称,中国开展青光眼人群筛查成本效益比良好

2019-07-24 许菁 中国循环杂志

青光眼的防治是世界范围内重要的公共卫生问题,亚洲地区青光眼患者占全球比例为60%,中国是全球青光眼最多的国家,全球有六分之一的青光眼患者分布在中国。

青光眼的防治是世界范围内重要的公共卫生问题,亚洲地区青光眼患者占全球比例为60%,中国是全球青光眼最多的国家,全球有六分之一的青光眼患者分布在中国。

筛查是早发现、早诊断青光眼的重要手段。温州医科大学青光眼研究所学者在《柳叶刀-全球健康》(The Lancet Global Health)发表青光眼筛查研究,称在中国开展青光眼人群筛查具有很好的成本效益比。

研究结果显示,在中国,采用闭角型青光眼的筛查方案筛查1位居民的成本为17.1元,采用开角型青光眼的筛查方案筛查1位居民的成本为21.7元,在医院进行系统眼科检查需要花费107.9元。

在农村,若实施闭角型青光眼筛查,每挽回一个质量调整生命年(QALY)所增加的费用为1969.1元,每挽回一个盲年所增加的费用为4549.3元。

若实施闭角和开角型青光眼联合筛查,每筛查10万人能挽回246个盲年,每挽回一个质量调整生命年所增加的费用为3863.5元,每挽回一年视力所增加的费用为8691.2元。

在城市实施闭角和开角型青光眼的联合筛查,能获得更大的效益,即每筛查10万人能挽回1325个盲年。

研究者称,世界卫生组织所推荐的适宜的卫生干预措施,其成本应不高于人均国内生产总值(GDP)的3倍,在中国实施闭角和开角型青光眼联合筛查的成本低于这一标准,这提示在中国实施以人群为基础的闭角型青光眼和开角型青光眼联合筛查具备较好的成本效益比。

温州医科大学附属眼视光医院青光眼研究所、青光眼早期诊断与随访监测中心自2014年起就开展青光眼社区筛查(温州踏青行动,温州为民办实事十大民生工程之一)。截至2016年共筛查居民3万余人,检出并转诊青光眼、白内障、眼底病等患者共5500余例。

本研究基于我国青光眼流行病学和临床研究近10年的数据,结合在温州这样一个中等城市开展青光眼人群筛查的实际场景,首次系统地对在我国开展青光眼筛查进行了卫生经济学评价,首次提出了在中国这样的人口密度大而闭角型青光眼高发的发展中国家进行青光眼筛查具有较好的成本效益比。

原始出处:Jianjun Tang, PhD; Prof Yuanbo Liang, MD; Prof Ciaran O'Neill, PhD; et al. Cost-effectiveness and cost-utility of population-based glaucoma screening in China: a decision-analytic Markov model. Lancet Glob Health. May 20, 2019

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    2020-01-29 howi
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    2019-09-01 shizhenshan
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    2019-07-26 1209e435m98(暂无昵称)

    学习了,谢谢分享

    0

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    2019-07-24 飛歌

    学习了很有用不错

    0

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