On the decision rules of cost-effective treatment for patients with diabetic foot syndrome

被引：6

作者：

Goulionis, John E. ^{[1
]}

Vozikis, Athanassios ^{[2
]}

Benos, V. K. ^{[1
]}

Nikolakis, D. ^{[1
]}

机构：

[1] Univ Piraeus, Dept Stat & Insurance Sci, 80 Karaoli & Dimitriou St, Piraeus 18534, Greece

[2] Univ Piraeus, Dept Econ Sci, Piraeus, Greece

来源：

CLINICOECONOMICS AND OUTCOMES RESEARCH | 2010年 / 2卷

关键词：

partially observable Markov decision model; diabetic foot syndrome; cost-effectiveness method;

D O I：

10.2147/CEOR.S11981

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: To. assess the cost-effectiveness of two treatments (medical treatment and amputation) in patients with diabetic foot syndrome, one of the most disabling diabetic complications. Diabetes mellitus is a massive health care problem worldwide with a current prevalence of 150 millions diabetic cases, estimated to increase to 300 million cases in 2025. Methods: Integrating medical knowledge and advances into the clinical setting is often difficult due to the complexity of the algorithms and protocols. Clinical decision support systems assist the clinician in applying new information to patient care through the analysis of patient-specific clinical variables. We require strategic decision support to analyze the cost-effectiveness of these programs compared to the status quo. We provide a simple partially observable Markov model to investigate that issue, and we propose an heuristic algorithm to find the best policy of intervention. Results: This study assesses the potential cost-effectiveness of two alternative treatment interventions in patients with diabetic foot syndrome. The implementation of the heuristic algorithm solution will assist doctors in clinical decision making, and health care organizations in evaluating medication choices for effective treatment. Finally, our study reveals that treatment programs are highly cost-effective for patients at high risk of diabetic foot ulcers and lower extremity amputations.

引用

页码：121 / 126

页数：6

共 50 条

[1] Interdisciplinary treatment of diabetic foot syndrome
Eckardt, A
Kraus, O
Küstner, E
Neufang, A
Schmiedt, W
Meurer, A
Schöllner, C
Schadmand-Fischer, S
ORTHOPADE, 2003, 32 (03): : 190 - 198
[2] Knowledge of patients with diabetic foot syndrome
Michalek-Kowalczyk, Magdalena
Szewczyk, Maria T.
PIELEGNIARSTWO CHIRURGICZNE I ANGIOLOGICZNE-SURGICAL AND VASCULAR NURSING, 2007, (01): : 28 - 34
[3] GROWTH FACTORS IN THE TREATMENT OF DIABETIC FOOT SYNDROME
Komeliagina, Elena Y.
Antsiferov, Michail B.
DIABETES MELLITUS, 2019, 22 (04): : 377 - 383
[4] Treatment of Chronic Wounds in the Diabetic Foot Syndrome
Hanel, W.
Lobmann, R.
AUSTRIAN JOURNAL OF CLINICAL ENDOCRINOLOGY AND METABOLISM, 2013, 6 (03): : 32 - 37
[5] Pharmacoeconomic aspects of the treatment of diabetic foot syndrome
Kalashnikova, M. F.
Maksimova, N., V
Udovichenko, O., V
Suntsov, Yu., I
DIABETES MELLITUS, 2010, 13 (02): : 113 - 119
[6] Experience with the treatment of diabetic foot syndrome in Barnaul
Zaplavnova, O. D.
Shaidurova, O. S.
Pantyukov, D. A.
Chernenko, V. V.
Litvinov, S., V
DIABETES MELLITUS, 2011, 14 (04): : 24 - 28
[7] Pharmacoeconomic analysis of conservative strategy for the treatment of patients with diabetic foot syndrome in Moscow
Kalashnikova, M. F.
Maksimova, N. V.
Dedov, I. I.
DIABETES MELLITUS, 2011, 14 (03): : 103 - 109
[8] The diabetic foot syndrome: pathogenesis, diagnosis and interventional treatment
Tepe, G.
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2009, 134 (19) : 1006 - 1010
[9] Biomedical Technologies in the Treatment of Skin and Soft Tissue Defects in Patients with Diabetic Foot Syndrome
Dibirov, Magomed D.
Gadzhimuradov, Rasul U.
Koreiba, Konstantin A.
Minabutdinov, Aidar R.
INTERNATIONAL JOURNAL OF BIOMEDICINE, 2016, 6 (01) : 41 - 45
[10] MODERN APPROACHES TO TREATMENT OF PATIENTS WITH PURULO-NECROTIC LESIONS OF DIABETIC FOOT SYNDROME
Kizimenko, A. A.
Gorodova-Andreeva, T., V
Lyakhovskiy, V., I
WORLD OF MEDICINE AND BIOLOGY, 2018, 64 (02): : 209 - 213

← 1 2 3 4 5 →