土耳其种植体支持的单冠和牙支持固定义齿的成本效益分析。

Cost-Effectiveness Analysis of Implant-Supported Single Crown and Tooth-Supported Fixed Dental Prostheses in Türkiye.

机构信息

Department of Health Economics, Nezahat Keleşoğlu Faculty of Health Sciences, Necmettin Erbakan University, Konya, Türkiye; Department of Health Management, Nezahat Keleşoğlu Faculty of Health Sciences, Necmettin Erbakan University, Konya, Türkiye.

Department of Hospital Management, Faculty of Economics and Administrative Sciences, Süleyman Demirel University, Isparta, Türkiye; Department of Health Management, Faculty of Economics and Administrative Sciences, Süleyman Demirel University, Isparta, Türkiye.

出版信息

Value Health Reg Issues. 2024 Jul;42:100979. doi: 10.1016/j.vhri.2024.01.001. Epub 2024 Feb 9.

DOI:10.1016/j.vhri.2024.01.001

PMID:38340673

Abstract

OBJECTIVES

The most cost-effective option for replacing lost teeth is not evident because there is a dearth of evidence-based information on implant-supported single crowns versus tooth-supported fixed dental prostheses. This study conducted the analysis of cost-effectiveness of implant-supported single crown and tooth-supported fixed dental prostheses from a social perspective in Türkiye.

METHODS

Costs were calculated in the analysis from a social perspective for 2021. Costs and quality-adjusted prosthesis year (QAPY) values were computed over a 20-year period in the study using the Markov model. The computed values were discounted by 5%. The results are presented as the incremental cost-effectiveness ratio. To assess the impact of uncertainty on cost-effectiveness analyses, a tornado diagram and Monte Carlo simulations were created.

RESULTS

Throughout the 20-year time horizon, tooth-supported fixed dental prostheses cost $985.58 cumulatively, whereas implant-supported single crown cost $2161.64 (US $1 = 9.22 ₺ as of 15 October 2021). The calculated incremental cost-effectiveness ratio is 1.333 per QAPY. Compared with the implant-supported single crown tooth-supported fixed dental prostheses, it offers a QAPY of 0.882 over a 20-year period, while costing an additional $1176.06.

CONCLUSIONS

These results suggest that the implant-supported single crown provided higher QAPY value but was costlier. When the research's findings are compared with the literature, it becomes clear that Türkiye has lower dental care expenses than most other nations.

摘要

目的

由于缺乏关于种植体支持的单冠与牙支持固定义齿的循证信息，因此对于缺失牙的最具成本效益的选择尚不清楚。本研究从社会角度分析了土耳其种植体支持的单冠和牙支持固定义齿的成本效益。

方法

本分析从社会角度计算了 2021 年的成本。在研究中，使用马尔可夫模型在 20 年内计算了成本和质量调整义齿年（QAPY）值。计算出的值贴现了 5%。结果以增量成本效益比表示。为了评估不确定性对成本效益分析的影响，创建了龙卷风图和蒙特卡罗模拟。

结果

在 20 年的时间内，牙支持固定义齿的累计成本为 985.58 美元，而种植体支持的单冠的成本为 2161.64 美元（截至 2021 年 10 月 15 日，1 美元=9.22 里拉）。计算出的增量成本效益比为每 QAPY 1.333。与种植体支持的单冠相比，牙支持固定义齿在 20 年内提供了 0.882 的 QAPY，而成本增加了 1176.06 美元。