Instituto Mexicano del Seguro Social, Cuernavaca, Morelos, México.
Salud Publica Mex. 2010 Nov-Dec;52(6):493-501.
To estimate the annual cost of treating patients with cirrhosis at the Mexican Institute of Social Security (IMSS per its abbreviation in Spanish).
The annual cost of treating three stages of cirrhosis (Child-Pugh A, Child-Pugh B and Child-Pugh C) was estimated using micro-costing techniques and medical experts. These results were compared and contrasted with prices reported by IMSS.
The annual cost of treatment, in USA dollars, by Child-Pugh stage was: a) micro-costing results: $1110.17 stage A, $549.55 stage B and $348.16 stage C; b) opinion of medical experts: $1 633.64, $6564.04 and $19660.35, respectively; and c) IMSS costs: $4269.00, $16949.63 and $30249.25, respectively.
The cost of treating patients with cirrhosis is considerable, and costs increase as the disease worsens. Cost estimates vary depending on the source of information, and the methodology used. There are discrepancies between the procedures reported in medical records and treatment recommendations by IMSS liver experts.
估算墨西哥社会保障研究所（简称 IMSS）治疗肝硬化患者的年度费用。
采用微观成本核算技术和医学专家估算了三个阶段（Child-Pugh A、Child-Pugh B 和 Child-Pugh C）肝硬化的年度治疗费用。并将这些结果与 IMSS 报告的价格进行了比较和对比。
按 Child-Pugh 阶段计算的年度治疗费用（以美元计）分别为：a）微观成本核算结果：A 期为 1110.17 美元，B 期为 549.55 美元，C 期为 348.16 美元；b）医学专家意见：分别为 1633.64 美元、6564.04 美元和 19660.35 美元；c）IMSS 费用：分别为 4269.00 美元、16949.63 美元和 30249.25 美元。
治疗肝硬化患者的费用相当可观，且随着病情恶化而增加。成本估算因信息来源和所用方法而异。医疗记录中报告的程序与 IMSS 肝脏专家的治疗建议之间存在差异。
