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首页> 外文期刊>Diabetes, obesity & metabolism >Five-year cost-effectiveness of the Patient Empowerment Programme (PEP) for type 2 diabetes mellitus in primary care
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Five-year cost-effectiveness of the Patient Empowerment Programme (PEP) for type 2 diabetes mellitus in primary care

机译：患者赋权计划（PEP）的五年成本效益为2型糖尿病初级护理

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摘要

This study evaluated the short-term cost-effectiveness of the Patient Empowerment Programme (PEP) for diabetes mellitus (DM) in Hong Kong. Propensity score matching was used to select a matched group of PEP and non-PEP subjects. A societal perspective was adopted to estimate the cost of PEP. Outcome measures were the cumulative incidence of all-cause mortality and diabetic complication over a 5-year follow-up period and the number needed to treat (NNT) to avoid 1 event. The incremental cost-effectiveness ratio (ICER) of cost per event avoided was calculated using the PEP cost per subject multiplied by the NNT. The PEP cost per subject from the societal perspective was US$247. There was a significantly lower cumulative incidence of all-cause mortality (2.9% vs 4.6%, P < .001), any DM complication (9.5% vs 10.8%, P = .001) and CVD events (6.8% vs 7.6%, P = .018), in the PEP group. The costs per death from any cause, DM complication or case of CVD avoided were US$14 465, US$19 617 and US$30 796, respectively. The extra amount allocated to managing PEP was small and it appears cost-effective in the short-term as an addition to RAMP.
机译：本研究评估了香港糖尿病（DM）患者赋予患者赋权计划（PEP）的短期成本效益。倾向得分匹配用于选择匹配组的PEP和非PEP受试者。采用社会观点来估计PEP的成本。结果措施是全导致死亡率和糖尿病复制的累积发病率超过5年的随访期间以及治疗（NNT）所需的数量，以避免1个事件。使用每个受试者的PEP成本乘以NNT的PEP成本计算每次事件成本的增量成本效益比（ICER）。来自社会角度的每项主题的PEP成本为247美元。所有原因死亡率的累积发生率显着降低（2.9％Vs 4.6％，P <.001），任何DM并发症（9.5％vs 10.8％，P = .001）和CVD事件（6.8％VS 7.6％， P = .018），在PEP组中。避免任何原因，DM并发症或CVD案例的死亡成本分别为14 465美元，即19617美元和30美元796美元。分配给管理PEP的额外金额很小，并且在短期内似乎是成本效益，作为斜坡的补充。

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