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首页> 外文期刊>The British journal of psychiatry : >Economic evaluation of a randomised controlled trial for anorexia nervosa in adolescents.
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Economic evaluation of a randomised controlled trial for anorexia nervosa in adolescents.

机译:经济评估青少年神经性厌食症的随机对照试验。

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BACKGROUND: Young people with anorexia nervosa are often admitted to hospital for treatment. As well as being disruptive to school, family and social life, in-patient treatment is expensive, yet cost-effectiveness evidence is lacking. AIMS: Cost-effectiveness analysis of three treatment strategies for adolescents with anorexia nervosa. METHOD: UK multicentre randomised, controlled trial comparing in-patient psychiatric treatment, specialist out-patient treatment and general out-patient treatment. Outcomes and costs assessed at baseline, 1 and 2 years. RESULTS: There were 167 young people in the trial. There were no statistically significant differences in clinical outcome between the three groups at 2 years. The specialist out-patient group was less costly over the 2-year follow-up (mean total cost 26 738 UK pounds) than the in-patient (34 531 UK pounds) and general out-patient treatment (40 794 UK pounds) groups, but this result was not statistically significant. Exploration of the uncertainty associated with the costs and effects of the three treatments suggests that specialist out-patient treatment has the highest probability of being cost-effective. CONCLUSIONS: On the basis of cost-effectiveness, these results support the provision of specialist out-patient services for adolescents with anorexia nervosa.
机译:背景:患有神经性厌食症的年轻人经常被送往医院接受治疗。住院治疗不仅破坏学校,家庭和社会生活,而且昂贵,但缺乏成本效益证据。目的:三种神经性厌食症治疗策略的成本效益分析。方法:英国多中心随机对照试验,比较了住院精神病治疗,专科门诊治疗和普通门诊治疗。在基线,1年和2年评估结果和成本。结果:试验中有167名年轻人。两组在2年时的临床结局无统计学差异。专家门诊组在两年的随访中(平均总费用26 738英镑)比住院(34531英镑)和普通门诊(40 794英镑)要便宜。 ,但此结果在统计上并不显着。对与三种治疗的成本和效果相关的不确定性的探索表明,专科门诊治疗具有最高的成本效益可能性。结论:基于成本效益,这些结果支持为神经性厌食症的青少年提供专业的门诊服务。

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