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首页> 美国卫生研究院文献>Journal of Radiation Research >A cost-minimization analysis of measures against metallic dental restorations for head and neck radiotherapy
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A cost-minimization analysis of measures against metallic dental restorations for head and neck radiotherapy

机译：头部和颈部放射治疗金属牙科修复措施的成本最小化分析

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The aim of this study was to compare the estimated public medical care cost of measures to address metallic dental restorations (MDRs) for head and neck radiotherapy using high-energy mega-voltage X-rays. This was considered a first step to clarify which MDR measure was more cost-effective. We estimated the medical care cost of radiotherapy for two representative MDR measures: (i) with MDR removal or (ii) without MDR removal (non-MDR removal) using magnetic resonance imaging and a spacer. A total of 5520 patients received head and neck radiation therapy in 2018. The mean number of MDRs per person was 4.1 dental crowns and 1.3 dental bridges. The mean cost per person was estimated to be 121 720 yen for MDR removal and 54 940 yen for non-MDR removal. Therefore, the difference in total public medical care cost between MDR removal and non-MDR removal was estimated to be 303 268 800 yen. Our results suggested that non-MDR removal would be more cost-effective than MDR removal for head and neck radiotherapy. In the future, a national survey and cost-effectiveness analysis via a multicenter study are necessary; these investigations should include various outcomes such as the rate of local control, status of oral mucositis, frequency of hospital visits and efforts of the medical professionals.
机译：本研究的目的是将估计的公共医疗保健成本与使用高能兆电压X射线进行头部和颈部放射治疗的金属牙科修复物（MDRS）进行比较。这被认为是澄清MDR测量更具成本效益的第一步。我们估计了两种代表性MDR测量的放射治疗的医疗费用：（i）使用MDR去除或（II）使用磁共振成像和垫片而没有MDR去除（非MDR去除）。 2018年共有5520名患者接受头部和颈部放射治疗。每人的平均MDR数量为4.1个牙科冠和1.3个牙科桥梁。对于MDR去除的平均成本为121 720日元，除去54 940日元，可去除非MDR。因此，估计MDR去除和非MDR去除之间总公共医疗费用的差异估计为303 268 800日元。我们的研究结果表明，非MDR去除率比MDR去除头部和颈部放射治疗更具成本效益。将来，通过多中心研究的国家调查和成本效益分析是必要的;这些调查应包括各种结果，例如局部控制率，口腔粘膜炎，医院访问频率和医学专业人员的努力。

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