A systematic literature review on the policies and economic evaluation of organ transplantations in EU

Q3 Nursing

Epidemiology Biostatistics and Public Health Pub Date : 2022-06-30 DOI:10.2427/9470

G. Tritaki, P. D. Giannantonio, S. Boccia

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引用次数: 1

Abstract

Background: transplantation of human organs and tissues saves many lives and restores essential functions in combination of high measurable quality indicators. In spite of the fact that organ transplants have saved thousands of lives and greatly improved the quality of life of thousands more, regrettably many people will not benefit from this therapeutic procedure. Methods: this review is based on economic evaluation studies published since 2000 and reviews published since 1987 for kidney, liver, lung, heart, pancreas, and small bowel transplantations that were conducted in 2010. Results: empirical evidence showed that the costs of organ transplantations have generally decreased over time due to improvements in medicine, while survival and quality of life have improved. This indicates that the cost-effectiveness of transplantation has also improved over this period. Conclusions: cost effectiveness studies on organ transplantations could contribute to the efforts of policy makers in maximising societal health benefits by managing society’s scarce resources. The differences between EU country are not only associated with different legal procedures but are also associated with social, organizational and several other factors.

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欧盟器官移植政策与经济评价的系统文献综述

背景:人体器官和组织的移植可以挽救许多生命，并恢复基本功能，结合高可测量的质量指标。尽管器官移植已经挽救了成千上万人的生命，并极大地提高了成千上万人的生活质量，但令人遗憾的是，许多人不能从这种治疗过程中受益。方法:本综述基于2000年以来发表的经济评价研究和1987年以来发表的关于2010年进行的肾、肝、肺、心脏、胰腺和小肠移植的综述。结果:经验证据表明，随着时间的推移，由于医学的进步，器官移植的成本普遍下降，而生存和生活质量也有所提高。这表明在此期间移植的成本效益也有所提高。结论:器官移植的成本效益研究有助于决策者通过管理社会稀缺资源来实现社会健康效益最大化。欧盟国家之间的差异不仅与不同的法律程序有关，而且与社会、组织和其他几个因素有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Epidemiology Biostatistics and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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期刊介绍： Epidemiology, Biostatistics, and Public Health (EBPH) is a multidisciplinary journal that has two broad aims: -To support the international public health community with publications on health service research, health care management, health policy, and health economics. -To strengthen the evidences on effective preventive interventions. -To advance public health methods, including biostatistics and epidemiology. EBPH welcomes submissions on all public health issues (including topics like eHealth, big data, personalized prevention, epidemiology and risk factors of chronic and infectious diseases); on basic and applied research in epidemiology; and in biostatistics methodology. Primary studies, systematic reviews, and meta-analyses are all welcome, as are research protocols for observational and experimental studies. EBPH aims to be a cross-discipline, international forum for scientific integration and evidence-based policymaking, combining the methodological aspects of epidemiology, biostatistics, and public health research with their practical applications.