超声引导下真空辅助旋切术诊治乳腺肿块的成本效果分析

Cost Effectiveness Analysis of Ultrasound-guided Vacuum-assisted Breast Biopsy in the Treatment of Breast Masses

目的:为判断VABB技术的经济性,本文从卫生系统角度开展VABB诊治乳腺肿块的成本效果分析。方法:收集广东、安徽、四川3省的3家VABB手术量较大的公立医院乳腺肿块患者的诊疗信息、费用信息和手术前后相关指标等数据,建立回顾性队列,利用临床真实世界数据进行成本效果分析。结果:相对传统开放式手术进行乳腺肿块切除,VABB治疗费用约降低6348.72元,且能缩短术后住院时间约4天。因不同地区对于技术应用管理不同,治疗费用和术后住院时长均存在区域间差异。结论:与传统开放手术相比VABB技术具有潜在成本效果优势,临床推广应用仍需完善相关定价支付政策。

Objective:To perform a cost effectiveness analysis of vacuum-assisted breast biopsy(VABB)in the diagnosis and treatment of breast masses from the perspective of health system,so as to judge the economics of VABB.Methods:The diagnosis and treatment information,cost information and other relative data of breast cancer patients from three public hospitals in Guangdong,Anhui and Sichuan provinces were collected,and retrospective cohort was established to conduct cost-effectiveness analysis using clinical real-world data.Results:Compared with traditional hollow needle biopsy,VABB could help shorten the postoperative hospital stay by 4 days and reduce the cost by 6348.72 yuan.Due to different management of technology application in different regions,there were regional differences in treatment cost and postoperative hospitalization duration.Conclusion:VABB has a potential cost effectiveness advantage compared to traditional open surgery,while the relevant pricing and payment policies are still needed to be improved to support clinical promotion and application.