揭示衣原体筛查策略的成本效益:一项系统综述。

IF 0.7 Q3 Medicine
Portuguese Journal of Public Health Pub Date : 2024-11-19 eCollection Date: 2025-03-01 DOI:10.1159/000542685
Emídio Mata, António Angélico-Gonçalves, Ana Rita Leite, Diogo Queiroz Almeida
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引用次数: 0

摘要

背景:预防性筛查策略的成本效益分析对公共卫生至关重要,以确保资源的有效利用,特别是对于衣原体等性传播感染,这导致重大的质量调整生命年(QALY)损失。摘要:本研究系统回顾了EMBASE、PubMed和SCOPUS数据库,从启动到2022年10月,对衣原体感染筛查策略的成本-效果研究,分析了qaly与未筛查的增量成本-效果比(ICER)。在487项研究中,包括6项研究,每项研究采用不同的筛查方法、假设、患病率和发病率。ICERs从15-24岁女性每年筛查获得的2,350美元/QALY到16-29岁女性和男性筛查获得的117,529欧元/QALY不等。关键信息:结果强调了不同假设对ICERs的影响,并强调了衣原体感染精确流行病学的重要性。描述当地人口特征的研究对于准确的成本效益分析和公共卫生政策的制定至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unveiling the Cost-Effectiveness of Chlamydia Screening Strategies: A Systematic Review.

Background: Cost-effectiveness analyses of preventive screening strategies are paramount for public health to ensure effective resource use, especially for sexually transmitted infections such as Chlamydia, which lead to significant quality-adjusted life years (QALY) loss.

Summary: This study systematically reviewed EMBASE, PubMed, and SCOPUS databases, from inception to October 2022, Chlamydia infection screening strategies' cost-effectiveness studies analyzing Incremental Cost Effectiveness Ratio (ICER) of QALYs versus no screening. Out of 487 studies, six were included, each employing distinct screening approaches, assumptions, and prevalence and incidence rates. The ICERs varied from USD 2,350/QALY gained with annual screening of women aged 15-24 years to EUR 117,529/QALY gained with women and men screening (age 16-29).

Key messages: The results underscore the impact of the different assumptions on ICERs and highlight the importance of precise epidemiology on Chlamydia infections. Studies characterizing the local population are crucial for accurate cost-effectiveness analysis and public health policy formulation.

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来源期刊
Portuguese Journal of Public Health
Portuguese Journal of Public Health Medicine-Health Policy
CiteScore
2.60
自引率
0.00%
发文量
20
审稿时长
55 weeks
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