Center for Clinical Management Research, Ann Arbor Veterans Affairs Medical Center, 2215 Fuller Road, Ann Arbor, MI 48105, USA; Division of Gastroenterology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Rogel Cancer Center, University of Michigan, Ann Arbor, MI, USA.
Department of Internal Medicine, University of Utah School of Medicine, 30 North 1900 East, Suite 4C104, Salt Lake City, UT 84132, USA.
Gastrointest Endosc Clin N Am. 2021 Jan;31(1):77-90. doi: 10.1016/j.giec.2020.08.005. Epub 2020 Oct 26.
The authors conducted a review of the literature of cost-effectiveness analyses regarding management of Barrett's esophagus, including screening, surveillance, and treatment strategies. Because of the presence of multiple systematic reviews on this topic, they chose to focus on more recent economic analyses, with an emphasis on comparative modeling because these analyses have been demonstrated to achieve greater validity and impact when there are multiple competing strategies that are clinically reasonable to pursue. The authors identified areas of consensus across studies regarding management strategies and also areas that require additional empirical data.
作者对 Barrett 食管管理的成本效益分析文献进行了回顾，包括筛查、监测和治疗策略。由于针对这个主题已经有多项系统综述，因此他们选择重点关注近期的经济分析，并强调比较建模，因为当存在多种临床上合理的竞争策略时，这些分析可以实现更高的有效性和影响力。作者确定了关于管理策略的研究之间的共识领域，以及需要额外实证数据的领域。
