窝沟封闭预防儿童龋齿的成本效益分析。
Cost-effectiveness analysis of fissure sealants for caries prevention in children.
机构信息
Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul Gelisim University, Istanbul, Turkey.
Industrial Engineering Department, Faculty of Management, Istanbul Technical University, Istanbul, Turkey.
出版信息
J Public Health Dent. 2023 Mar;83(1):43-50. doi: 10.1111/jphd.12549. Epub 2022 Oct 27.
OBJECTIVE
To evaluate the cost-effectiveness of resin-based and glass ionomer-based fissure sealants compared with no intervention for children.
METHODS
We developed a Markov-based decision analytic model that simulated Turkish children from aged 6 to 15 years. Two types of costs were explored from the payers' perspective and the health care system perspectives. A cost-effectiveness analysis of resin-based and glass ionomer-based fissure sealants was conducted to quantify their effectiveness using the number of caries prevented and the quality-adjusted tooth years (QATYs). Costs and effectiveness measures were discounted at 3% per year.
RESULTS
The most cost-effective intervention was resin-based fissure sealant, with an additional $5.34 per caries prevented and $1.86 per QATY gained compared with no treatment.
CONCLUSION
Fissure sealants particularly resin-based sealants are cost-effective for children in Turkey due to their low cost and highly preventive characteristics.
目的
评估与不干预相比，用于儿童的树脂基和玻璃离子水门汀类窝沟封闭剂的成本效益。
方法
我们开发了一个基于马尔可夫的决策分析模型，模拟了来自土耳其年龄在 6 至 15 岁的儿童。从支付者和医疗保健系统的角度探讨了两种类型的成本。使用预防龋齿数量和质量调整后的牙年（QATYs），对树脂基和玻璃离子水门汀类窝沟封闭剂的成本效益进行了分析。成本和效果衡量指标按每年 3%贴现。
结果
最具成本效益的干预措施是树脂基窝沟封闭剂，与不治疗相比，每预防一颗龋齿的额外成本为 5.34 美元，每获得一个 QATY 的额外成本为 1.86 美元。
结论
由于其低成本和高度预防性的特点，窝沟封闭剂（特别是树脂基封闭剂）在土耳其对儿童具有成本效益。
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