Cost-Effectiveness Analysis of Three Access Bronchoscopy in the Treatment of Central Airway Stenosis
- VernacularTitle:三种通路支气管镜治疗中央型气道狭窄的成本-效果分析
- Author:
Tong-tong HUANG
1
;
Ying XIN
;
Shangyang LUAN
;
Tao XU
;
Kuixu LAN
Author Information
1. 青岛大学附属医院呼吸与危重症医学科 山东 青岛 266000
- Publication Type:Journal Article
- Keywords:
central airway stenosis;
bronchoscopic interventional therapy;
cost-effectiveness analysis
- From:
Chinese Health Economics
2025;44(10):80-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the cost-effectiveness of interventional bronchoscopy with rigid bronchoscopy(scleroscope),laryngeal mask airway and endotracheal intubation access for the treatment of central airway stenosis.Methods:The data of patients with central airway stenosis who underwent interventional bronchoscopy under general anesthesia were collected,and divided into rigid bronchoscopy group,laryngeal mask group and tracheal intubation group.The average Cost-Effectiveness Ratio(CER)was calculated using total hospitalization cost and total surgery cost as the cost indices,and improvement of shortness of breath symptoms as the effect index.The stability of the evaluation result was analyzed by one-factor sensitivity analysis and probabilistic sensitivity analysis.Results:A total of 205 patients were included:rigid bronchoscopy group(66 patients),laryngeal mask group(64 patients)and tracheal intubation group(75 patients).The CERs were 8 851.29 for the rigid bronchoscopy group,10 942.62 for the laryngeal mask group,and 8 902.98 for the tracheal intubation group when using total hospitalization cost as the cost index.For total surgery cost,the CERs were 2 617.80,3 389.73,and 2 741.38,respectively.The order was rigid bronchoscopy＜tracheal intubation＜laryngeal mask.The main factors affecting the model results were the discount rate,non-surgical costs,and improvement of shortness of breath symptoms.Probabilistic sensitivity analysis shows that the results of the basic analysis are stable.Conclusion:Interventional bronchoscopy via rigid bronchoscope is the most economical method for treating central airway stenosis.
