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Cost-effectiveness analysis of COPD screening programs in primary care for high-risk patients in China

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单位: [1]Real-World Insights, IQVIA, Beijing, China [2]Medical Affairs, AstraZeneca, Beijing, China [3]National Clinical Research Center for Respiratory Diseases Institute of Respiratory Medicine Chinese Academy of Medical Science Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China [4]Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China [5]Department of Health Economics, School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China [6]National Center for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China [7]National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
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We built a decision-analytic model to compare the cost-effectiveness of using portable spirometer and questionnaire to screen chronic obstructive pulmonary diseases (COPD) with no screening (i.e. usual care) among chronic bronchitis patient in China. A lifetime horizon and a payer perspective were adopted. Cost data of health services including spirometry screening and treatment costs covered both maintenance and exacerbation. The result indicated that portable spirometer screening was cost-saving compared with questionnaire screening and no screening, with an incremental cost-effectiveness ratio (ICER) of -5026 and -1766 per QALY, respectively. Sensitivity analyses confirmed the robustness of the results. In summary, portable spirometer screening is likely the optimal option for COPD screening among chronic bronchitis patients China.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 2 区 初级卫生保健 4 区 呼吸系统
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 初级卫生保健 3 区 呼吸系统
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出版当年[2019]版:
Q1 PRIMARY HEALTH CARE Q2 RESPIRATORY SYSTEM
最新[2023]版:
Q1 PRIMARY HEALTH CARE Q2 RESPIRATORY SYSTEM

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]Real-World Insights, IQVIA, Beijing, China
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