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《Chinese Journal of Medicinal Guide》 2006-02
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Cost - effectiveness Analysis on Surgical Treatment for Intracerebral Hemorrhage

Wang De-jiang,Wang Mei,Liu Ke-jun,et al. (Beijing Tiantan Hospital,Capital University of Medical Sciences,Beijing 100050,China) (China Health Economics Institute,Beijing 100083,China)  
Objective:To conduct cost-effectiveness analysis on three surgical procedures.Methods:Based on the information collected from 2 464 cases of Intracerebral Hemorrhage in 92 hospitals,we have conducted a multi - center clinical trial. By applying cost-effectiveness analysis,the per capita inpatient cost of each surgical procedure was compared.In order to carry out a comprehensive health economic evaluation,NNT was also introduced as a clinical epidemiological indicator to calculate the total cost involved in avoiding one non - self care patient. Results: The average cost for saving one patient with Intracerebral Hemorrhage and the average cost for one self-care patient were as follows:the cost of traditional craniotomy was the highest, the cost of minimally invasive surgery was in the middle and the cost of simple sphenotresia was the lowest.The total cost of avoiding one non - self care was 152 838.00 Yuan in simple sphenotresia group and 120 208.41 Yuan in minimally invasive surgery group.Conclusion:The results of the comprehensive health economic evaluation show that minimally invasive surgery was the most cost-effective,simple sphenotresia was less cost-effective and traditional craniotomy was the least cost-effective.However,from the perspectives of accessibility and equity,simple sphenotresia was more suitable to the national conditions of China.
【Fund】: 国家“十五”科技攻关课题[课题编号:2001 BA 703 B 16(B)].
【CateGory Index】: R651.11
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【Co-references】
Chinese Journal Full-text Database 1 Hits
1 Shanghai Neurosurgical Cooperation on Hypertensive Cerebral Hematoma Written by:ZHOU Liang Fu,PANG Li,Department of Neurosurgery, Huashan Hospital,Fudan University, Shanghai 200040;Minimally Invasive Surgery for Hypertensive Hematomas——A Prospective Randomized Multiple Centers Trial[J];Chinese Journal of Clinical Neurosciences;2001-02
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 Xie Ruiman, Wang Xinwen, Zhen Xiaoming, Zhao Miaojuan (Department of Neurology, Zhongshan Hospital, Medical Center of Fudan University, Shanghai 200032, P. R. China);A Study of Hospital Costs and Length of Stay in Neurorehabilitation Patients with Acute Stroke[J];Clinical Medical Journal of China;2000-03
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