估算韩国结直肠癌相关健康状况的效用权重和质量调整生命年损失。

Estimating utility weights and quality-adjusted life year loss for colorectal cancer-related health states in Korea.

机构信息

Public Health Medical Service, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Republic of Korea.

Institute of Health Policy and Management, Medical Research Center, Seoul National University College of Medicine, Seoul, Republic of Korea.

出版信息

Sci Rep. 2017 Jul 17;7(1):5571. doi: 10.1038/s41598-017-06004-6.

Abstract

We aimed to assess utility weight of health states associated with colorectal cancer (CRC) that reflect the societal preference of the Korean population and to estimate the quality-adjusted life year (QALY) loss with CRC. We recruited 607 individuals from the Korean population; they were surveyed via face-to-face computer-assisted interviews. The participants evaluated each CRC-associated health state using standard gamble. Utility weight for each health state was calculated as the possibility of full health restoration. Moreover, we estimated total QALY loss due to CRC in Korean individuals aged ≥30 years in 2013. To calculate QALY due to morbidity, we yielded utility weights and used epidemiologic data of CRC on severity from the National Cancer Control Institute. QALY loss due to mortality was calculated using mortality of CRC and life expectancy data from the Korean Statistical Information Service. The highest and lowest utility weights were assigned to "adenomatous polyps" and "metastatic colon cancer", respectively. Total QALY loss due to CRC in Korea was 173,662; these patients were more likely to be men or be included in the 70-74-year age group. These utility weights may be useful for conducting cost-utility studies of cancer screening for CRC and for measuring disease burden with QALY.

摘要

我们旨在评估与结直肠癌(CRC)相关的健康状态的效用权重,以反映韩国人群的社会偏好,并估计 CRC 导致的质量调整生命年(QALY)损失。我们从韩国人群中招募了 607 名参与者;通过面对面的计算机辅助访谈对他们进行了调查。参与者使用标准博弈对每个 CRC 相关的健康状态进行了评估。每个健康状态的效用权重计算为完全健康恢复的可能性。此外,我们估计了 2013 年≥30 岁的韩国个体因 CRC 导致的总 QALY 损失。为了计算因发病导致的 QALY,我们使用了国家癌症控制研究所提供的 CRC 严重程度的流行病学数据来产生效用权重。CRC 死亡率和韩国统计信息服务提供的预期寿命数据用于计算因死亡导致的 QALY 损失。“腺瘤性息肉”和“转移性结肠癌”分别被赋予了最高和最低的效用权重。韩国因 CRC 导致的总 QALY 损失为 173662;这些患者更可能是男性或属于 70-74 岁年龄组。这些效用权重可能有助于进行 CRC 癌症筛查的成本效益研究,并以 QALY 衡量疾病负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d2/5514107/dabce8d23f01/41598_2017_6004_Fig1_HTML.jpg

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