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学科主题: 医学信息学
题名:
Cost-effectiveness analysis of combined Chinese medicine and Western medicine for ischemic stroke patients
作者: Li Yi1; Xi Han-xu1; Zhu Sha2,3; Yu Na1; Wang Jing1; Li Yan2,4; Yu Guo-pei1; Ma Xie-min5; Zhang Jun2,3; Zhao Lue-ping1,6
关键词: ischemic stroke ; Chinese medicine ; Western medicine ; cost-effectiveness analysis
刊名: CHINESE JOURNAL OF INTEGRATIVE MEDICINE
发表日期: 2014-08-01
DOI: 10.1007/s11655-014-1759-9
卷: 20, 期:8, 页:570-584
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Integrative & Complementary Medicine
研究领域[WOS]: Integrative & Complementary Medicine
关键词[WOS]: CLINICAL-PRACTICE ; PATENT MEDICINE ; HERBAL MEDICINE ; HOSPITAL STAY ; DISEASE ; FUTURE ; CENTERS ; BRAIN ; CARE
英文摘要:

To evaluate the cost-effectiveness of combining Chinese medicine (CM) with Western medicine (WM) for ischemic stroke patients.

Hospitalization summary reports between 2006 and 2010 from eight hospitals in Beijing were used to analyze the length of stay (LOS), cost per stay (CPS), and outcomes at discharge.

Among 12,009 patients (female, 36.44%; mean age, 69.98 +/- 13.06 years old), a substantial number of patients were treated by the WM_Chinese patent medicine (CPM)_Chinese herbal medicine (CHM) (38.90%); followed by the WM_CPM (32.55%), the WM (24.26%), and the WM_CHM (4.15%). With adjustment for confounding variables, LOS of the WM_CPM_CHM group was about 10 days longer than that of the WM group, and about 6 days longer than that of the WM_CPM group or the WM_CHM group (P < 0.01); CPS of the WM_CPM_CHM group was United States dollar (USD) 1,288 more than that of the WM group, and about USD 600 more than that of the WM_CPM group or the WM_CHM group (P < 0.01). Compared with the WM group, odd ratio (OR) of recovered and improved outcome of the WM_CPM_CHM group was the highest [OR: 12.76, 95% confidence intervals (CI): 9.23, 17.64, P < 0.01], OR of death outcome of the WM_CPM_CHM group was the lowest (OR: 0.08, 95% CI: 0.05, 0.12, P < 0.01). There was no significant difference between LOS, CPS and OR of the WM_CPM group and those of the WM_CHM group (P > 0.05). Cost/effectiveness and incremental cost-effectiveness ratio of the WM_CPM_CHM group were robustly higher than those of the WM group.

Compared with WM alone, supplementing CPM and CHM to WM provides significant health benefits of improving the chance of recovered and improved outcome, and reducing the death rate, at an expense of longer LOS and higher CPS.

语种: 英语
所属项目编号: BMU20100107
项目资助者: "985" Project from Ministry of Education of China
WOS记录号: WOS:000340506500002
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/62561
Appears in Collections:北京大学医学信息学中心_期刊论文

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作者单位: 1.Peking Univ, Med Informat Ctr, Beijing 100191, Peoples R China
2.Peking Univ, Dept Hosp Management, Hlth Sci Ctr, Beijing 100191, Peoples R China
3.Peking Univ, Dept Neurol, Hosp 3, Beijing 100191, Peoples R China
4.Peking Univ, Dept Neurol, Hosp 1, Beijing 100191, Peoples R China
5.Peking Univ, Sch Publ Hlth, Hlth Sci Ctr, Beijing 100191, Peoples R China
6.Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Seattle, WA 98109 USA

Recommended Citation:
Li Yi,Xi Han-xu,Zhu Sha,et al. Cost-effectiveness analysis of combined Chinese medicine and Western medicine for ischemic stroke patients[J]. CHINESE JOURNAL OF INTEGRATIVE MEDICINE,2014,20(8):570-584.
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