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目的根据临床的CT报销比例,CT结肠成像费用假定为从346~594欧元。本研究的目的是评估筛查的成本。方法数据来源于一个专门对受邀请人群进行CT结肠成像筛查的项目(n=2920,年龄50~75岁)。计算每个行动、每个被邀者、每个参与者及每个晚期肿瘤检出者的单位成本。进行敏感性分析,同时考虑可替代方案。结果在受邀者中,47.2%被提醒,38.8%计划参与,37.2%计划行CT结肠成像检查,33.6%已接受CT结肠成像,1.1%需要复查。在受邀者中病灶≥10mm的检出率为2.9%。邀请的费用为5.57欧元,CT结肠成像(从摄入到出结果)的人均费用为144.00欧元。阳性结果额外的通信费用为9.00欧元。每个被邀者的CT结肠成像筛查的平均费用为56.97欧元,每个参与者的费用为169.40欧元,每个肿瘤晚期病人检出的费用为2772.51欧元。结论在荷兰使用CT筛查的成本较已发表的CT结肠成像筛查成本效益分析中假定的成本要低。这一发现表明之前的成本效益分析结果需要更新,至少在荷兰是这样。要点①CT结肠成像检查费用一直根据(本地)临床报销比例。②根据上腹部和(或)盆腔CT,费用估计从346~594欧元。③在受邀人群为基础的筛查中每名参加者的平均成本为169.40欧元。④每例被检出的晚期肿瘤病人的CT结肠成像平均成本为2772.51欧元。⑤之前的成本-效益分析可能应更新。
Objective According to the clinical CT reimbursement ratio, CT colonography was assumed to cost 346-594 euros. The purpose of this study was to evaluate the cost of screening. Methodology data were collected from a project (n = 2920, age 50-75 years) for CT colonography screening of invited populations. Calculate the unit cost per action, per invitee, per participant, and per advanced tumor detector. Conduct a sensitivity analysis, taking into account alternatives. Results Among the invited participants, 47.2% were reminded, 38.8% planned to participate, 37.2% planned CT colonography, 33.6% had CT colonography, and 1.1% needed review. In the invitees the detection rate of lesions ≥10mm was 2.9%. The fee for the invitation is € 5.57 and the per capita cost for CT colonography (from intake to the result) is € 144.00. The positive result is an additional communication fee of 9.00 EUR. The average cost of CT colonography screening for each invitee was 56.97 euros, for each participant at 169.40 euros and for each advanced cancer patient was 2772.51 euros. Conclusion The cost of using CT screening in the Netherlands is lower than that assumed in the cost-benefit analysis of published CT colonography screening. This finding suggests that previous cost-benefit analyzes need to be updated, at least in the Netherlands. Points ①CT colon imaging examination costs have been based on (local) clinical reimbursement ratio. ② According to the upper abdomen and / or pelvic CT, the cost is estimated from 346 to 594 euros. ③ The average cost per participant in the invited crowd screening was 169.40 euros. ④ The average cost of CT colonography for each of the advanced cancer patients detected in each case was 2,772.51 euros. ⑤ The previous cost-benefit analysis should be updated.