基于真实世界数据的国产和进口腔镜吻合器费用比较研究  

A Comparative Study of the Cost of Domestic and Imported Stomatoscopic Anastomoses Based on Real-world Data

作　　者：惠文 蔡源益[2] 郝军 吴昌金 魏正强[6] 吴星烨[6] 龚黛琛 居文慧 肖明朝[6] 吴华章[2] 无 HUI Wen;CAI Yuan-yi;HAO Jun;XIAO Ming-zhao;WU Hua-zhang(Department of Science and Technology,West China Hospital of Sichuan University,Chengdu,610041,China;不详)

机构地区：[1]四川大学华西医院科技部,成都610041 [2]中国医科大学健康管理学院,沈阳110122 [3]中国医学科学院北京协和医学院,北京102300 [4]中国医学科学院阜外医院,北京102300 [5]国家心血管病中心医学统计部,北京102300 [6]重庆医科大学附属第一医院,重庆400016 [7]厦门弘爱医院病案室,福建厦门102300 [8]泰达国际心血管病医院质控中心,天津300457

出　　处：《中国卫生经济》2022年第10期73-77,共5页Chinese Health Economics

摘　　要：目的:在真实诊疗环境中,探讨结直肠癌行腹腔镜手术治疗的患者术中使用国产腔镜吻合器与进口腔镜吻合器的直接医疗费用差异。方法:提取样本医院2019年1月—2021年7月胃肠外科1187例结直肠癌患者出院数据,使用广义线性模型对国产腔镜吻合器和进口腔镜吻合器的相关费用进行比较分析;根据样本的用钉量设定分层并进行分层分析。结果:与进口腔镜吻合器相比,国产腔镜吻合器在吻合器费用、术中一次性医用耗材费用和耗材费用中分别节省5 199.78元、7 359.02元和7 597.32元。亚组分析结果显示,与用钉量≤2颗组相比,在用钉量>2颗组中使用国产腔镜吻合器更加经济。结论:结直肠癌行腹腔镜手术治疗的患者使用国产腔镜吻合器更能节省直接医疗费用。Objective:To compare the direct medical cost between domestic and imported laparoscopic staplers for patients with colorectal cancer undergoing laparoscopic surgery in the real-world setting.Methods:A total of 1 187 patients with colorectal cancer discharged from the Department of Gastrointestinal Surgery of a tertiary hospital from January 2019 to July 2021 were selected.It used a generalized linear model to compare the costs between domestic and imported staplers.Subgroup analysis were applied based on the amount of nails used in the sample.Results:Compared with imported staplers,domestic staplers saved 5 199.78 yuan,7 359.02 yuan and 7 597.32 yuan in stapler fees,intraoperative disposable medical consumables fees and medical consumables fees,respectively.The results of the subgroup analysis showed that the use of a domestic lumpectomy clutch was more economical in the group with>2 staples compared to the group with ≤ 2 staples.Conclusion:The domestic staplers are more economical for patients with colorectal cancer undergoing laparoscopic surgery.

关 键 词：结直肠肿瘤 腹腔镜手术 国产腔镜吻合器 进口腔镜吻合器 腔镜吻合器费用 真实世界数据 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F224.5[经济管理—国民经济]