Health economic evaluation on population-based Helicobacter pylori eradication and endoscopic screening for gastric cancer prevention

Gastric cancer is a global public health burden, nearly one million new cases are diagnosed per year worldwide, of which 44% of cases occur in China. The prognosis of gastric cancer varies remarkably by the stage of cancer, and most of the patients in China are diagnosed at advanced stages, resulting in poor prognoses. Effective strategies to reduce the burden of gastric cancer include primary prevention through testing and treatment of Helicobacter pylori(H. pylori) and secondary prevention by screening and early detection. Although many countries have issued management guidelines and consensus reports concerning these strategies, the limited availability of healthcare resources often precludes their widespread implementation. Therefore, assessing the costs, benefits, and harms of population-based intervention measures through health economic evaluation is necessary for informed health policy decisions. Accordingly, we synthesize management approaches from different countries on H. pylori eradication and endoscopic screening, and also summarize recent advancements in health economic evaluations on population-based preventive strategies. The goal of the review is to provide empirical evidence supporting optimal resource allocation, maximizing benefits for the population, and ultimately reducing the burden of gastric cancer.

Invasion of fall armyworm led to the succession of maize pests in Southwest China

The invasive fall armyworm Spodoptera frugiperda(J.E.Smith)invaded Asia in 2018,colonizing the tropical and southern subtropical regions as well as migrating with the monsoons into Northeast Asia during spring and summer.This has resulted in widespread infestations,with significant impacts on maize production in various Asian countries.Previous studies have shown that the invasion of this pest can alter the species relationships of maize pests,but the actual impact on maize pest management is still unclear.This study investigated the changes in maize pest occurrence and pesticide use in the annual breeding areas of S.frugiperda in Yunnan Province and the Guangxi Zhuang Autonomous Region of China during 2017-2021,based on surveys and interviews with small farmers in maize production.The results showed that S.frugiperda has emerged as the dominant species among maize pests after invasion and colonization,replacing traditional pests such as Ostrinia furnacalis,Spodoptera litura,Agrotis ypsilon,and Rhopalosiphum maidis.The variety of pesticides used for maize pest control has changed from chlorpyrifos,lambda-cyhalothrin,and acetamiprid to emamectin benzoate-based pesticides with high effectiveness against S.frugiperda.Furthermore,the frequency of maize pest chemical applications has increased from an average of 5.88 to 7.21 times per season,with the amounts of pesticides used in summer and autumn maize being significantly higher than in winter and spring maize,thereby increasing application costs by more than 35%.The results of this study clarified the impact of S.frugiperda invasion on maize pest community succession and chemical pesticide use in tropical and south subtropical China,thereby providing a baseline for modifying the regional control strategies for maize pests after the invasion of this relatively new pest.

Economic Evaluation on "Planting Three to Produce Four" High-yielding Project of Super Hybrid-rice in Hunan

The research conducted investigation and survey on 186 farm households in 2014 and carried out economic evaluation on ＂planting three to produce four＂ highyielding project of super hybrid rice. The results showed that the project of ＂planting three to produce four＂ performed significantly in terms of increasing yields and incomes. For example, per unit area yield of one-season late hybrid rice and middleseason hybrid rice proved the highest, and net income from middle-season rice in Longhui was the highest. It is obvious that to increase per unit yield is key for improving net incomes and to reduce machine fees and worker fees is crucial for decreasing fees.

Cost-Effectiveness Analysis of Renalof® versus Extracorporeal Shockwave Lithotripsy (ESWL) for the Treatment of Kidney Stones ≤ 1 cm in Nicaragua

Objectives: To assess the efficiency in terms of cost-effectiveness (CE) of oral Renalof® treatment versus extracorporeal shockwave lithotripsy (ESWL) in the treatment of kidney stones ≤ 1 cm in Nicaragua. Methods: A cost-effectiveness economic evaluation was carried out based on the results obtained in the randomised, prospective, observational, single-blind, prospective, phase 2 clinical trial. Cost-effectiveness and the incremental cost-effectiveness ratio (ICER) were calculated. Economic data were obtained from the Economics Department of Clínica Senior in Managua, Nicaragua. The monetary cost was expressed in US dollars (USD). Results: Treatment with Renalof® yielded a CE of $1,323.08/% remission, while ESWL was $9,498.54/% remission. The ICER shows that, in order to achieve a high percentage of kidney stone remission with ESWL, an extra $4,734.70 per patient must be invested. Conclusions: The use of Renalof® is shown to be a more cost-effective option than ESWL. It is recommended for the treatment of kidney stones ≤ 1 cm in size.

Economic Value Evaluation of Wetland Service in Yeyahu Wetland Nature Reserve,Beijing

Based on multi-source data,this paper evaluated the economic value of ecological services in the Yeyahu Wetland Nature Reserve,Beijing,China.The ecological services of wetland included gas regulation,water quality im-provement,biodiversity maintenance,erosion control,water supply,recreational opportunity,raw material supply and existence value.Multiple conventional evaluation methods were used to calculate the value of eight wetland services.The results showed that significant values came from biodiversity maintenance and recreational opportunity.The main reasons were as follows.Firstly,Yeyahu Wetland Nature Reserve was the habitat for migrant birds,and government had payed more efforts to protect precious birds.Secondly,the population is large in Beijing.People enjoyed going outside and enjoyed the natural and artificial wetland scenes.At the same time,most people were prepared to pay for wetland conservation.The decline of vegetation cover made the economic value of erosion control the lowest.While the shrink of water resource and the deteriorative water quality caused the economic value of water supply lower.The evaluation results could help decision-makers understand the present status of the Yeyahu Wetland Nature Reserve and provide a scientific basis for strategic decision.

An economic evaluation method of coalbed methane resources during the target selection phase of exploration

Because forecasting a development program during the target selection phase of exploration for coalbed methane （CBM） is impossible, the conventional method that relies on a conceptual （or detailed） development pro- gram cannot be used during the economic evaluation of CBM resources. Hence, this study focuses on establishing an economic evaluation model based on the characteristics of the target selection phase. The discounted cashflow method is applied to the construction of the model with the assumption that there is a uniform distribution of produc- tion wells. The computational error generated by the assumption is corrected by introducing a correction factor based on the production profile of single CBM wells. The case study demonstrates that the blocks lacking economic value can be screened out, and the most advantageous targets can be found by computing the resource values in the best- and worst-case scenarios. This technique can help to reduce wasted investments and improve the quality of decision-making in selecting targets for exploration.

Studies on Technique of Reducing Methane Emission in a Rice-Duck Ecological System and the Evaluation of Its Economic Significance

The rice-duck ecological system is one of the major practices of the traditional Chinese agriculture. A study on the effect of reducing methane emission using this practice provided theoretical and practical basis for further development and utilization of this classical agricultural technique. The effect of reducing methane emission and the economic benefits of rice-duck ecological system were studied by carrying out a field experiment and by using economic methodology. The daily variation of CH4 emission in late rice paddy field was basically consistent with the daily variation of atmospheric temperature. The highest emission occurred at the full tillering stage of late rice with a rate of 24.1 or 32.2 or 40.5 mg m^-2 h^-1 in no-tillage area with duck and no-tillage area without duck and conventional-tillage area without duck, respectively. The inhibition of methane emission was apparently effective in the rice-duck ecological system during the initial tillering stage and the full tillering stage. Compared to the no-tillage area without duck, methane emission decreased by 2.333 g m^-2. Compared to the conventional-tillage area without duck, methane emission decreased by 4.723 g m^-2. During the production period of late rice, the amount of methane emission in no-tillage area with duck was 3.373 g m^-2 lesser than that of no-tillage area without duck, and 5.59 g m^-2 less than that of conventional-tillage without duck area. The economic significance was analyzed. Farmers adopting the rice-duck ecological system obtained 2 166 and 4 207 RMB yuan ha^-1 more income than those who adopted a no-tillage without duck technique or conventional-tillage without duck technique, respectively. In addition to the reduction of the environmental pollution by methane emission, the farmers who adopted the rice-duck ecological system achieved economic benefits of 5 000 RMB yuan ha^-1, which was 2 206 and 4 274 RMB yuan ha^-1 more than those who adopted a no-tillage without duck technique and a conventional-tillage without duck technique, respectively. The rice-duck ecological system not only increased the economic benefits for farmers, but also reduced methane emission in rice paddy field. A sustainable agricultural production mode was formed.

Economic evaluation of cervical cancer screening strategies in urban China

Objective:This study evaluated the feasibility of different cervical cancer screening strategies in urban China.Methods:A Markov model was constructed to simulate a hypothetical cohort of 100,000 females aged 30-59 years in a 20-year period.Screening strategies included liquid-based cytology(LBC)every three years,human papillomavirus(HPV)DNA testing every three and five years,respectively,and a combination of HPV DNA testing and LBC(HPV+LBC)every three and five years,respectively.Model outcomes included cumulative incidence over 20 years,cumulative risk of cervical cancer,costs,life year saved(LYS),quality-adjusted life years(QALYs)and benefits.The cost-effectiveness ratios(CERs),incremental cost-effectiveness ratios(ICERs),costutility ratios(CURs),and benefit-cost ratios(BCRs)were used as outcomes in the health economic evaluation analysis.Univariate sensitivity analyses were performed to examine the stability of the results.Results:The cumulative incidence of the five screening strategies ranged from 833.02 to 1,158.07 cases per100,000 females.HPV DNA testing was most effective in reducing the cumulative risk of cervical cancer,saving life years and QALYs and gaining benefits.The CERs of HPV DNA testing every three and five years,and LBC every three years were considered to be very cost-effective if they were below China's GDP per capita.The CERs of HPV+LBC were considered to be cost-effective if they were below three times GDP per capita.The incremental cost-effectiveness analysis showed that HPV DNA testing every three and five years,LBC every three years and HPV+LBC every five years were dominant strategies.Conclusions:The findings of this study indicated that HPV DNA testing every five years or LBC every three years should be recommended in urban China.

Optimization of CO_2 separation technologies for Chinese refineries based on a fuzzy comprehensive evaluation model

This study aims at determining the optimal CO2 separation technology for Chinese refineries, based on current available technologies, by the method of comprehensive evaluation. Firstly, according to the characteristics of flue gas from Chinese refineries, three feasible CO2 separation technologies are selected. These are pressure swing adsorption （PSA）, chemical absorption （CA）, and membrane absorption （MA）. Secondly, an economic assessment of these three techniques is carried out in accordance with cash flow analysis. The results show that these three techniques all have economic feasibility and the PSA technique is the best. Finally, to further optimize the three techniques, a two-level fuzzy comprehensive evaluation model is established, including economic, technological, and environmental factors. Considering all the factors, PSA is optimal for Chinese refineries, followed by CA and MA. Therefore, to reduce Chinese refineries carbon emission, it is suggested that CO2 should be captured from off-gases using PSA.

EVALUATION OF ECOLOGICAL SERVICES OF JILIN PROVINCE, NORTHEAST CHINA

The main purpose of this study is to give evaluation of ecological services of Jilin Province, Northeast China. To take this value into decision-making and GDP accounting system is considered to be one of the economic solutions for ecological problems. The evaluation is based on the methods proposed by COSTANZA et al., and some modifications about unit value of forest and cropland system were made according to the real characters of ecosystem, climate, natural conditions etc., in Jilin Province. Total value of ecosystem services is about 554.404x10(9) yuan(RMB)/a, which is about 4.9 times of GDP of the corresponding period. The results of this study could be used as a fundamental work for the construction of ecological province, which was carried out from 2001, and could provide ecological information for decision-making. Furthermore, the necessities for the further studies on the evaluation of ecological services and natural capital were discussed.

The environment of coal mining areas and the economic evaluation of the land reclamation

The environment impact of the coal resources mining was analyzed. The method of economic evaluation for the coal mining was established to analyze land destruction. The opportunity cost method was used to quantitatively analyze and estimate the economic loss of the land destruction by coal mining. At the same time, the dump land reclamation of the Yuanbaoshan Open Pit was taken as an example to evaluate environmental and economical benefit with the method of economic evaluation for the coal mining areas land reclamation.

Typical Application Scenarios and Economic Benefit Evaluation Methods of Battery Energy Storage System

Energy storage system is an important means to improve the flexibility and safety of traditional power system,but it has the problem of high cost and unclear value recovery path.In this paper,the typical application scenarios of energy storage system are summarized and analyzed from the perspectives of user side,power grid side and power generation side.Based on the typical application scenarios,the economic benefit assessment framework of energy storage system including value,time and efficiency indicators is proposed.Typical battery energy storage projects are selected for economic benefit calculation according to different scenarios,and key factors are selected for sensitivity analysis.Finally,the key factors affecting economic benefit of the energy storage system are analyzed.

Technical, Economic and Environmental Evaluation on Mechanical Rice Straw Gathering Method

Rice straw is a rice by-product, which is currently mostly wasted in Vietnam, in particular in the Mekong delta. At present, the cost of straw gathering is increasing because of the increased use of combine harvesters. High labor cost and lack of labor makes manual collection unfeasible. Farmers therefore often just burn it, which causes pollution, increased greenhouse gas emissions and loss of opportunities to value add. An economic and environmental evaluation and technical field testing of a straw baler with 4 ha/day capacity was therefore conducted in Long An province. During the field testing data on the gathering capacity, fuel consumption, labor requirement and other cost items were collected. The test results showed that the baling cost is US$19.0 per ton of rice straw, the pay-back period of 2. 1 years and the internal rate of return of 38%. In addition to the baling cost, the transportation cost varies from US$24 for a distance of 100 km to US$32 for 150 km. The benefits of the machine are not only economical but also include the reduction of field burning.

Net Present Value Method: A Method Recommended by ISO 15686-5 for Economic Evaluation of Building Life Cycle Costs

The publication of ISO 15686-5 is significant for studies related to the life-cycle costs of buildings. Among the many economic evaluation methods, the NPV method is recommended for use by this standard. This study explains the concept and method of PV, and then provides an explanation of the concept and method of NPV, and points out the limitations in the practical application of the method.

Economic Evaluation of Hydraulic Fracturing in a Gas Condensate Reservoir Operating below Dewpoint

Hydraulic fracturing is among the approaches used to optimize production from a gas condensate reservoir. A detailed economic analysis is required to evaluate the profitability and feasibility of hydraulic fracturing as an optimization option in a gas condensate reservoir operating below dewpoint. The objective of this research is to evaluate the economic benefits derivable from the use of hydraulic fracturing to improve gas and liquid recovery from a gas condensate reservoir operating below dewpoint. This research considers the use of four profit indicators to ascertain the profitability of hydraulic fracturing in a gas condensate reservoir operating below dewpoint by increasing the fracture halflength, fracture width and fracture permeability. The production data of the reservoir was obtained and the economic calculations done on excel spreadsheet and plots generated. The four profit indicators considered in the research are Net Present Value, Payout, Discounted Cash Flow Rate of Return and Profit per Dollar Invested. The economic justification was done by carrying out a comparative economic analysis from the result obtained when the reservoir of study was unfractured with that obtained when the reservoir was fractured at various fracture parameters. The economic analysis was done considering a royalty and tax rate of 18.5% and 30% respectively and a gas price of $2/MSCF and condensate price of $30/bbl. This is done so as to find out if the additional cost of hydraulic fracturing can be offset by the recovery from the reservoir when its pressure declined below dewpoint. The result obtained showed that the additional recovery due to hydraulic fracturing by increasing the fracture halflength, fracture width and fracture permeability was not enough to justify the application of hydraulic fracturing when the reservoir pressure declined below dewpoint.

Economic Evaluation of Gastroscopy for Detecting Gastric Cancer in Chinese Natural Population

Objective To evaluate the economy of detecting gastric cancer by electronic gastroscope in Chinese natural population of different ages and genders.Methods A Markov model was constructed for the population,including both men and women of different ages.The model cycle was one year and the simulation time was 60 years.The cost-effectiveness of electronic gastroscopy in detecting gastric cancer of general population in China was analyzed from the perspective of the whole society,and the stability of the results was verified by sensitivity analysis.Results and Conclusion For the general population,the incremental cost-effectiveness ratio(ICER)of gastric cancer screening from the age of 50 is 50143 yuan/QALY(quality-adjusted life-year),which is less than two times of per capita gross domestic product(GDP)compared with the screening from the age of 55.For men who start gastric cancer screening at the age of 50,the ICER is 38525 yuan/QALY,which is less than two times of per capita GDP,and it is economical.For women who start the screening from the age of 55,the ICER is 47814 yuan/QALY,which is less than two times of per capita GDP,so it is economical.The results of sensitivity analysis are consistent with the conclusions of basic analysis,and the results of basic analysis are stable.For the general population,it is more economical to start gastric cancer screening from the age of 50,while for men and women,it is more economical to start gastric cancer screening from the age of 50 and 55,respectively.

Economic Evaluation for 5G Planning of a Distribution Network Considering Network Coupling and Important Node Identification

The rapid development of communication services in the power distribution network poses challenges for existing wireless communications,and the deployment of a fiber optic network is costly and difficult.The emerging 5G technology has been piloted in power distribution networks,though the cost-effectiveness of its large-scale deployment remains unclear.This paper proposes an economic evaluation method for 5G planning in power distribution networks,considering the coupling relationship between power distribution and communication networks and the identification of important network nodes.First,the objective function to solve the planned number of 5G base stations is established.This is solved using the adaptive particle swarm algorithm and K-means algorithm.Second,the coupling relationship between the distribution and communication networks is discussed and quantified.The node importance of the coupling network is analyzed to identify the important nodes,and micro base stations or optical fibers are added to improve the reliability of the distribution network at the communication level.Finally,an economic evaluation index of 5G planning of the distribution network is established.The paper compares the economic solutions of 5G and 4G communications in city and town scenarios using the IEEE 123-node network as an example,and concludes that the economics of 5G are better than those of 4G.

Research on Liposomal Irinotecan in Combination with 5-FU/LV for Metastatic Pancreatic Ductal Adenocarcinoma

Objective To systematically review the published clinical and economic research on liposomal irinotecan in combination with 5-FU/LV for metastatic pancreatic ductal adenocarcinoma(mPDAC)at home and abroad.Methods PubMed,Cochrane Library,Embase,CBM,CNKI,Wan Fang data,CRD database and health technology assessment official websites were searched to collect clinical and economic studies on liposomal irinotecan for mPDAC.Results and Conclusion Nine clinical studies and four economic studies were included.The result of clinical studies showed that liposomal irinotecan in combination with 5-FU/LV could extend survival with good drug compliance in patients with mPDAC who progressed on prior gemcitabine-based therapy.This agent represented a new treatment option for second-line chemotherapy in these patients.The results of the economic evaluations failed to reach a consistent conclusion due to different economic levels in various countries.

Evaluation of the economic impact of the robotic approach in major and postero-superior segment liver resections: a multicenter retrospective analysis

Background:Economic impact of robotic liver surgery(RLS)is still a debated issue due to the heterogeneity of liver resections considered and the lack of a rigorous methodology.Therefore,the aim of this study is to perform a time-driven activity-based costing(TD-ABC)comparing the costs of RLS,laparoscopic liver surgery(LLS)and open liver surgery(OLS)in the context of complex liver resections and to compare short term perioperative outcomes.Methods:The institutional databases of two Italian high volume hepatobiliary centres were retrospectively reviewed from February 2021 to April 2022.Patients submitted to major hepatectomies or postero-superior liver resections were selected and divided into three groups according to the approach scheduled(RLS,LLS and OLS)and compared.Major contributors of perioperative expenses were calculated using the TD-ABC model and accurately quantifying each unit resource consumed per patient and the time spent performing each activity.A primary intention-to-treat analysis(ITT-A)including conversions in the RLS and LLS groups was performed.Results:Forty-seven RLS,101 LLS and 124 OLS were collected.LLS and RLS showed reduced blood loss,morbidity,mortality and hospital stay compared with open.A trend towards reduced conversion rate in RLS compared to LLS was registered.Total costs associated with RLS were estimated at€10,637 vs.€9,543 for LLS and vs.€13,960 for OLS.The higher intraoperative costs associated with RLS(+153.3%vs.OLS and+148.2%vs.LLS,P<0.001),primarily related to surgical equipment expenses,were slightly offset by the postoperative savings(−56.0%vs.OLS and−29.4%vs.LLS,P<0.001)resulting from significantly reduced hospital stays.Conclusions:RLS offers economic advantages over OLS,as initial higher costs are offset by better perioperative outcomes.The evolving robotic marketplace is expected to drive down RLS costs,promoting widespread adoption in minimally invasive procedures.Despite its higher costs than LLS,RLS’s ability to enhance minimally invasive feasibility makes it a preferred choice for complex cases,reducing the need for conversions.

经外周穿刺中心静脉导管置管、维护及拔管操作的成本核算

目的对经外周置入中心静脉导管(peripherally inserted central catheter,PICC)置管、维护及拔管的单项操作成本进行核算,为制定合理的操作收费价格提供依据。方法通过横断面调查,采用项目成本阶梯分摊法,于2019年1—5月在复旦大学附属肿瘤医院血管通路门诊测算PICC各单项操作人力成本、设备折旧费及未单独计价材料费,测算直接成本,并通过分摊测算间接成本,最后测算PICC置管、维护及拔管的单项操作成本。结果PICC置管、维护及拔管的各单项操作实际成本分别为(157.03±4.73)元、(33.66±3.04)元、(32.38±3.11)元,与上海市医疗机构对PICC各项操作的收费标准(分别为150元、30元、30元)基本相符。结论建议将PICC维护及拔管的操作收费纳入收费标准中,促进PICC输液技术的可持续发展并确保护理服务的持续供给。