J Clin Periodontol：非手术牙周治疗对罹患II型糖尿病患者的成本效益研究

2017-05-18 lishiting MedSci原创

牙周治疗可以降低糖尿病患者的糖化血红蛋白指数，尽管这种变化的可持续性仍然存在很大的不确定性。这篇研究的目的是为了评估一个提供者的看法：在英国罹患II型糖尿病伴随牙周炎的患者采用非手术牙周治疗和严格的维持治疗所带来的成本效益。

牙周治疗可以降低糖尿病患者的糖化血红蛋白指数，尽管这种变化的可持续性仍然存在很大的不确定性。这篇研究的目的是为了评估一个提供者的看法：在英国罹患II型糖尿病伴随牙周炎的患者采用非手术牙周治疗和严格的维持治疗所带来的成本效益。

研究为II型糖尿病患者建立一个牙周治疗的终身成本模型，并通过一个已发布的仿真模型来评估在项目假设的一生中，糖化血红蛋白的改变对调整预期寿命的糖尿病治疗成本和质量的影响。通过成本和疗效相结合的方法检测II型糖尿病患者牙周治疗所增加的成本效益比率。

结果显示，以质量调整生活年为效用指标进行分析，1名58岁的男性，糖化血红蛋白指数7-7.9%，所增加的成本效益为？28，000。另外，研究结果对之前的设定极其敏感，包括：牙周治疗对糖化血红蛋白的影响，对依从维持治疗的患者比例的影响，以及依从患者对治疗反应的比例的影响。

结论：通过可接受的质量调整生活年阈值成本，能够持续改善假定的糖化血红蛋白指标，表明牙周治疗对英国II型糖尿病患者可能是经济有效的。

原始出处：

Solowiej-Wedderburn J， Ide M， et al. Cost-effectiveness of non-surgical periodontal therapy for patients with type 2 diabetes in the UK. J Clin Periodontol. 2017 May 15. doi： 10.1111/jcpe.12746.

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2017-07-27 feather89

#PE#

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2017-05-20 zhaojie88

#成本效益#

95 0
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2017-05-20 lsj629

#II型糖尿病#

76 0
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2017-05-20 liuyong2982

#牙周#

65 0
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2017-05-20 xue8604

#糖尿病患者#

92 0
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2017-05-20 cooco

#牙周治疗#

67 0
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2017-05-19 dhzzm

学习了分享了

146 0
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2017-05-19 lou.minghong

学习了

135 0
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2017-05-18 明月清辉

谢谢分享，学习了

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