与标准治疗相比，内镜下套扎术治疗复发性消化性溃疡出血具有成本效益：初步评估
Clipping Over the Scope for Recurrent Peptic Ulcer Bleeding is Cost-Effective as Compared to Standard Therapy: An Initial Assessment.
作者信息
Yu Jessica X, Russell W Alton, Asokkumar Ravishankar, Kaltenbach Tonya, Soetikno Roy
机构信息
Division of Gastroenterology and Hepatology, University of Michigan, 1301 Catherine Street, Ann Arbor, MI 48109, USA.
Department of Management Sciences and Engineering, Stanford University, 475 Via Ortega, Stanford, CA 94305, USA.
出版信息
Gastrointest Endosc Clin N Am. 2020 Jan;30(1):91-97. doi: 10.1016/j.giec.2019.09.004.
Clipping over the scope (C-OTS) is a novel closure technique used for the treatment of nonvariceal gastrointestinal bleeding, especially for high-risk lesions. C-OTS devices cost more than clipping through the scope and thermal devices. The high upfront cost of C-OTS may pose a barrier to its use and the cost-effectiveness of C-OTS for peptic ulcer disease bleeding is unknown. Cost-effectiveness studies of C-OTS for peptic ulcer bleeding as both first-line and second-line therapy can provide the current estimate of the conditions in which the use of C-OTS is cost-effective and give insights of the determinants to the cost-effectiveness of C-OTS.
内镜下套扎术（C-OTS）是一种用于治疗非静脉曲张性胃肠道出血的新型闭合技术，尤其适用于高危病变。C-OTS设备的成本高于内镜下单纯套扎术和热凝设备。C-OTS高昂的前期成本可能会阻碍其应用，且其用于消化性溃疡出血的成本效益尚不清楚。对C-OTS作为一线和二线治疗消化性溃疡出血的成本效益研究，可以提供当前关于C-OTS在何种情况下具有成本效益的估计，并深入了解影响C-OTS成本效益的决定因素。
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