Ankjaer-Jensen A, Sejr T E
Dansk Sygehus Institut, København.
Ugeskr Laeger. 1994 Jul 25;156(30):4355-60.
The health economic consequences of treating nocturnal enuresis with a buzzer alarm is compared to treatment with Desmopressin. Based on age specific prevalence estimates and reported effects of the two treatments a cost-effectiveness analysis (CEA) was performed. The analysis showed a considerable difference between the costs of the two alternative treatments. A treatment based upon the buzzer alarm could result in a net saving to society of 19.2 million DKK, while a treatment based upon Desmopressin could result in expenses for society of 44.8 million DKK. A treatment based on a combination of the two will be economically neutral to the society. Treatment with a buzzer alarm or a combined treatment is therefore from a health economic point of view preferable. The health economic consequences of the introduction of new treatments are discussed, and it is recommended that health economic analyses are performed before the introduction of new treatments.
将使用蜂鸣器报警器治疗夜间遗尿症的健康经济后果与使用去氨加压素治疗的后果进行了比较。基于特定年龄的患病率估计以及两种治疗方法的报告效果,进行了成本效益分析(CEA)。分析表明,两种替代治疗方法的成本存在显著差异。基于蜂鸣器报警器的治疗可为社会带来1920万丹麦克朗的净节省,而基于去氨加压素的治疗可能使社会支出4480万丹麦克朗。基于两者结合的治疗对社会在经济上是中性的。因此,从健康经济角度来看,使用蜂鸣器报警器治疗或联合治疗更可取。文中讨论了引入新治疗方法的健康经济后果,并建议在引入新治疗方法之前进行健康经济分析。