Cost effectiveness evaluation of four kinds of surgical methods for hepatic echinococcosis
10.3969/j.issn.1002-2694.2017.06.017
- VernacularTitle:肝细粒棘球蚴病4种手术方式的成本-效果评价
- Author:
Jing YANG
;
Jiang LI
;
Xinyu PENG
;
Shijie ZHANG
;
Xiangwei WU
;
Hong SUN
;
Jian YANG
;
Shuxia GUO
- Keywords:
hepatic echinococcosis;
surgical methods;
cost effectiveness analysis
- From:
Chinese Journal of Zoonoses
2017;33(6):559-563
- CountryChina
- Language:Chinese
-
Abstract:
We analyzed the cost effectiveness of four different surgical methods (A,B,C and D) in treatment of hepatic echinococcosis.Totally 757 cases of hepatic echinococcosis surgery clinical data and cost information of hospitalized cases were collected from nine hospitals in Xinjiang during 2005-2013.The clinical effects,cost effectiveness ratio and incremental costeffectiveness ratio were analyzed and compared.The total complication rates were 15.8％,9.2％,0％ and 2.9％;the recurrence rates were 7.3％,6.2％,0％ and 0％;the cure rates were 77.8％,84.6％,100.0％ and 97.1％;the cost (RMB) were 11 947.3,18 543.6,25 510.7 and 18 877.4,cost-effectiveness ratio were 153.6,219.1,255.1 and 194.3,incremental cost-effectiveness ratio /C//E were 964.4,610.4 and 358.0 respectively for group A,B,C and D.The results after adjusting of price factor were consistent with original cost effectiveness analysis.The complete resection of inner and outer capsule (D) is the most effective and economical way of clinical operation and may worthy be promoted in treatment of hepatic echinococcosis.
