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标题：A cost-consequence analysis of hepatitis B screening in an immigrant population
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作者：Alessandra Buja ; Diego Martines ; Salvatore Lobello 等
期刊名称：Annali dell'Istituto Superiore di Sanita
印刷版ISSN：0021-2571
出版年度：2015
卷号：51
期号：4
页码：327-335
DOI：10.4415/ANN_15_04_13
出版社：Editrice Kurtis Srl
摘要：Objective. Screening for HBV among groups at risk, such as migrant populations, hasproved to be a cost-effective strategy. With a view to advising local policy-makers, thecost-consequences of HBV screening was assessed using a modeling approach.Methods. This cost-consequence analysis of an HBV screening strategy was conductedin a cohort of adult migrants in the province of Padua, northern Italy.Results. The population targeted for screening consisted of 65 405 migrants, amongwhom the weighted rate for the prevalence of HBV was 0.04972, with 3251 peopleinfected. Over a period of 5 years, the screening strategy prevented 565 cases/year ofchronic hepatitis, 141 of compensated cirrhosis, 9 of decompensated cirrhosis, 14 hepatocellularcarcinomas and 12 deaths. The above data revealed that the incremental costof the screening strategy compared to no screening strategy was € 7 974 959 over the fiveyear period. The cost per life saved amounted to € 676 709.Conclusions. The present study provides useful information to policy-makers at localand regional levels.
关键词：immigrants; screening program; cost-consequence;analysis; health care services; modeling