Division of Gastroenterology and Hepatology, Center for Esophageal Diseases and Swallowing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Am J Gastroenterol. 2020 Jul;115(7):1019-1021. doi: 10.14309/ajg.0000000000000650.
A cost-utility analysis in the current issue of AJG examines the ramifications of the overuse of surveillance endoscopy in Barrett's esophagus (BE). This study suggests that excess surveillance is expensive, increasing costs by 50% or more, with only nominal increases in quality-adjusted life expectancy. This study joins a growing literature of cost-utility analyses that suggest that more is not likely better when it comes to surveillance endoscopy. Given the plentiful literature showing overutilization of surveillance endoscopy in BE, the authors argue for a focus on the quality of endoscopy rather than increased frequency of surveillance to improve returns on our healthcare investment.
AJG 本期中的一项成本效用分析研究了过度使用监测内镜检查 Barrett 食管（BE）的后果。该研究表明，过度监测会增加 50%或更多的成本，而对质量调整生命预期的增加却微不足道。这项研究加入了越来越多的成本效用分析文献，这些文献表明，在监测内镜检查方面，更多的并不一定更好。鉴于大量文献显示 BE 中存在过度使用监测内镜检查的情况，作者主张将重点放在内镜检查的质量上，而不是增加监测频率，以提高我们医疗保健投资的回报。
