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[骨质疏松症中成本效益分析的必要性]

[The necessity of cost-effectiveness analysis in osteoporosis].

作者信息

Lamy Olivier, Krieg Marc-Antoine

机构信息

Service de médecine interne, Département de médecine CHUV, 1011 Lausanne.

出版信息

Rev Med Suisse. 2007 Jun 13;3(115):1521-5.

Abstract

Economic evaluations are increasingly being used by decision-makers to estimate the cost-effectiveness of interventions. Major changes have recently occurred in the treatment of osteoporosis. The development of a valid economic model (Markov) in the field of osteoporosis is discussed, as well as these limitations. Intervention, such hip protectors, calcium and vitamin D, bisphosphonates, hormonal replacement therapy, SERMs, strontium ranélate, analogue of parathyroid hormone are analysed in the light of cost-effectiveness analyses.

摘要

决策者越来越多地使用经济评估来估计干预措施的成本效益。骨质疏松症的治疗最近发生了重大变化。本文讨论了骨质疏松症领域有效经济模型(马尔可夫模型)的发展以及这些局限性。根据成本效益分析,对髋部保护器、钙和维生素D、双膦酸盐、激素替代疗法、选择性雌激素受体调节剂、雷奈酸锶、甲状旁腺激素类似物等干预措施进行了分析。

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