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KAROTİS ARTER STENOZU TEDAVİ TEKNİKLERİNİN MALİYET VE KLİNİK ETKİLİLİĞİNİ İNCELEYEN ÇALIŞMALARIN SİSTEMATİK DERLEMESİ
2022
Journal:  
International Journal of Disciplines Economics & Administrative Sciences Studies (IDEASTUDIES Journal)
Author:  
Abstract:

Bu araştırmanın amacı, karotis arter stenozu tedavisinde kullanılan tedavi tekniklerinden olan karotis stentlemenin, karotis endarterektomiye klinik ve ekonomik etkililik bakımından eşdeğer olup olmadığını sistematik derleme düzeyinde araştırmaktır. Klinik-etkililik için randomize kontrollü çalışmalar sistematik olarak derlenmiştir. Araştırmada ölçülmek istenen temel sonuçlar inme, miyokard enfarktüsü ve mortalite olgularıdır. Ekonomik değerlendirme için karotis stentleme ve karotis endarterektomiyi maliyet-fayda ya da maliyet-etkililik bakımından karşılaştıran çalışmalara yer verilmiştir. Araştırmada tedavi sonrası kısa ve orta dönem inme, stentleme grubunda yüksek iken; miyokard enfarktüsü, endarterektomide daha yüksek seyretmiştir. Mortalite olgusu ise her iki teknikte benzer ya da yakın sonuç üretmiştir. Ekonomik değerlendirme bakımından tedavi teknikleri değerlendirildiğinde, stentleme yönteminin işlem maliyetlerinin yüksekliğinden dolayı endarterektomi karşısında beklenen faydayı sağlayamamıştır. Karotis endarterektomi birçok çalışmada karotis stentlemeye göre daha maliyet-etkin olmuştur.

Keywords:

Systematic evaluation of processes reviewing the quality and clinical effectiveness of carotene artery stenosis therapy techniques
2022
Author:  
Abstract:

The purpose of this research is to investigate whether the stentization of carotene, a therapeutic technique used in the treatment of carotene arterial stenosis, is equivalent to carotene endarterectomy in terms of clinical and economic effectiveness at the systemic aggregation level. Randomized controlled studies for clinical effectiveness are systematically aggregated. The main results to be measured in the study are infarction, myocardial infarction and mortality. For economic assessment, the studies compared carotene stenting and carotene endarterectomy in terms of cost-benefit or cost-effectiveness. In the study, short and medium-term infection after treatment was high in the stenting group; myocardial infarction was seen higher in endarterectomy. The phenomenon of mortality has produced similar or close results in both techniques. When the therapeutic techniques were evaluated in terms of economic assessment, the stenting method did not provide the expected benefit against endarterectomy due to the high processing costs. Carotic endarterectomy has been more cost-effective in many studies than carotic stenting.

Keywords:

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International Journal of Disciplines Economics & Administrative Sciences Studies (IDEASTUDIES Journal)

Field :   Sosyal, Beşeri ve İdari Bilimler

Journal Type :   Uluslararası

Metrics
Article : 471
Cite : 346
2023 Impact : 0.022
International Journal of Disciplines Economics & Administrative Sciences Studies (IDEASTUDIES Journal)