Socioeconomic impact of otitis media in North America.
Socioeconomic impact of otitis media in North America.
复制标题
北美中耳炎的社会经济影响。
DOI：
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
Peter C. Coyte
中科院分区：
文献类型：
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作者：
Lisa Elden;Peter C. Coyte
客观化
中耳炎(OM)是一种常见而昂贵的疾病，据估计，美国的医疗保健系统每年的成本约为30-40亿美元，加拿大的成本为6亿美元。尽管北美报告的患病率很高，但关于各种治疗策略(内科或外科)中哪种最具临床效果、哪种最具成本效益、哪种具有最大的经济和社会影响，仍然很少进行普查。很少有研究比较不同的治疗策略或分析与各种治疗和生活质量问题相关的生理终点的结果测量。本文讨论了这些问题领域，并给出了治疗OM的建议和指南，以及对现有文献的回顾。
OBJECTIVE
Otitis media (OM) is a common and expensive disease with estimated cost to the health care system in the U.S.A. estimated at 3 to 4 billion dollars and to that of Canada at 600 million dollars per year. Despite the high prevalence rates reported in North America, there remains little censensus about which of the various treatment strategies (medical or surgical) is most clinically effective, which is most cost effective, or which has the most economic and societal impact. Few studies have been conducted comparing the various treatment strategies or analyzing outcome measurement of physiologic end-points relative to the various treatments and quality-of-life issues. This article addresses these problem areas and gives recommendations and guidelines for consideration in the treatment of OM, as well as a review of the literature available.