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首页> 外文期刊>Journal of clinical periodontology >Cost-benefit, cost-effectiveness and cost-utility analyses of periodontitis prevention.
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Cost-benefit, cost-effectiveness and cost-utility analyses of periodontitis prevention.

机译：牙周炎预防的成本效益，成本效益和成本效用分析。

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Objective: The aim of this paper was to determine whether there is evidence that periodontitis prevention is economically justified. Material and Methods: The characteristics of economic assessments such as cost-benefit, cost-effectiveness and cost-utility analyses were first derived from the literature on health economy. A literature search was conducted using PubMed up to December 2004. Inclusion criteria required that economic analyses be based on scientific principles including a hypothesis, valid comparative groups as well as a cost/benefit, cost/effectiveness and cost/utility assessment. Results: Only 14 papers were located, which included, in the broadest sense, economic parameters. From these papers, three were systematic reviews, three were randomized controlled studies, four were controlled studies, one was a longitudinal cohort study and three papers were based on statistical modelling. Only one paper reported actual costs for periodontal and dental treatment. Extensive programmes aimed at prevention of periodontal disease in a general population group showed no economic benefit. Adjunctive genetic/and or microbiological testing likewise showed no economic benefit. Economic assessments and real costs are not generally available in the literature. Statistical modelling suggested that non-surgical periodontal procedures are more economical compared with surgical interventions. The use of local delivery devices as an adjunct to Sc/RP showed no economic advantage. Conclusion: It is suggested that economic parameters as well as patient-centred outcomes be included in clinical trials. These data are essential for the appropriate allocation of resources for preventive measures on an individual patient and population base.
机译：目的：本文的目的是确定是否有证据表明预防牙周炎在经济上是合理的。材料和方法：经济评估的特征，例如成本效益，成本效益和成本效用分析，首先是从有关卫生经济的文献中得出的。截至2004年12月，使用PubMed进行了文献检索。纳入标准要求经济分析应基于科学原理，包括假设，有效的比较组以及成本/收益，成本/效益和成本/效用评估。结果：仅找到14篇论文，其中包括最广泛的经济参数。从这些论文中，有三篇为系统评价，三篇为随机对照研究，四篇为对照研究，一项为纵向队列研究，三篇基于统计学建模。只有一篇论文报告了牙周和牙科治疗的实际费用。旨在预防普通人群中牙周疾病的广泛计划显示没有经济利益。辅助基因/和/或微生物检测同样显示没有经济利益。文献中通常没有经济评估和实际成本。统计模型表明，与外科手术相比，非外科牙周手术更经济。使用本地传送设备作为Sc / RP的辅助设备并没有带来经济优势。结论：建议将经济参数以及以患者为中心的结果纳入临床试验。这些数据对于根据患者和人群适当分配预防措施的资源至关重要。

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