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糖尿病患者低血糖事件负效用值测量:基于时间权衡法

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目的:测量不同低血糖事件对糖尿病患者健康相关生命质量的影响,为卫生技术评估提供参数支持.方法:数据来源于山东省济南市某三甲医院,用时间权衡法(TTO)测量健康效用值,根据公式计算负效用值,并分析不同低血糖事件组间差异.结果:低血糖事件效用值均值低于糖尿病无低血糖事件(基线状态)效用值均值;严重低血糖事件负效用值均值(0.108)高于不严重低血糖事件负效用值均值(0.008);夜间严重/不严重低血糖事件负效用值均值(0.118/0.008)高于日间严重/不严重低血糖事件负效用值均值(0.098/0.007).结论:糖尿病管理应加强对严重低血糖事件和夜间低血糖事件的关注.
The Measurement of Disutility of Hypoglycemia on Health-related Quality of Life in Patients with Diabetes:Based on Time Trade-off Survey
Objective:Evaluating the impact of various hypoglycemic events on the Health-Related Quality of Life(HRQoL)of diabetes patients to provide empirical data for health technology assessment.Methods:The data was collected from a tertiary hospital in Jinan,Shandong Province,China.Health utility was measured using the Time Trade-off(TTO)method,and disutility was calculated based on the formula.Subsequently,the intergroup differences among various hypoglycemic event groups were analyzed.Results:The hypoglycemic events'average utility was all lower than the average utility for diabetics without hypoglycemic events(baseline status).Severe hypoglycemic events(0.108)had higher disutility compared to non-severe hypoglycemic events(0.008).Furthermore,nocturnal severe/non-severe hypoglycemic events(0.118/0.008)exhibited higher average disutility than daytime severe/non-severe hypoglycemic events(0.098/0.007).Conclusion:Optimal diabetes management demands prioritizing the prevention of both severe hypoglycemic events and nocturnal hypoglycemic events.

diabeteshypoglycemic eventstime trade-offdisutility

尹艺驰、史钊、李顺平

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山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心·国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学)·山东大学健康偏好研究中心 济南 250012

糖尿病患者 低血糖事件 时间权衡法 负效用值

国家自然科学基金面上项目

72374127

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(6)