E whakaatu ana ngā raraunga o te National Lung Screening Trial (NLST) ka taea e ngā matawai rorohiko (CT) te whakaiti i te mate pukupuku pūkahukahu mā te 20 ōrau ki te whakataurite ki ngā hihi-X o te uma. E whakaatu ana te arotakenga hou o ngā raraunga he pai pea mō te taha ōhanga.
I ngā wā o mua, ko te tirotiro i ngā tūroro mate pukupuku pūkahukahu he whakamahi i te hihi-X o te uma, he tikanga iti te utu mō te tātaritanga. Ka werohia ēnei hihi-X mā roto i te uma, ka tāpirihia te hanganga katoa o te uma ki te whakaahua 2D whakamutunga. Ahakoa he maha ngā whakamahinga o ngā hihi-X o te uma, e ai ki tētahi panuitanga pāpāho hou mai i Te Whare Wānanga o Brown, i whakaatuhia e tētahi rangahau nui i mahia i ngā tau e whā ki muri, arā, te NLST, kāore rawa he hua o ngā hihi-X i roto i te tirotiro mate pukupuku.
Haunga te whakaatu i te koretake o ngā hihi-X, i whakaatuhia hoki e te NLST kua heke te mate mā te 20 ōrau i te whakamahinga o ngā karapa CT porowhita iti-horopeta. Ko te whāinga o te tātaritanga hou, i whakahaerehia e ngā tohunga mate urutā i Te Whare Wānanga o Brown, he kimi mēnā he tika ngā karapa CT auau – he nui ake te utu i ngā hihi-X – mō te pūnaha tiaki hauora, e ai ki te panuitanga pāpāho.
He mea nui ēnei pātai i roto i te taiao hauora o ēnei rā, ina kore pea te utu o te mahi i ngā karapa CT auau ki ngā tūroro e whai hua ki te pūnaha katoa.
"Kei te piki haere te utu, ā, ko te tohatoha moni ki tētahi wāhi ko te tikanga he patunga tapu i ētahi atu," te kī a Ilana Gareen, he ahorangi āwhina mō te mate urutā i te Kura Hauora Tūmatanui o Te Whare Wānanga o Brown, i roto i te panuitanga pāpāho.
I whakaatuhia i roto i tētahi rangahau i whakaputaina i roto i te New England Journal of Medicine, ko te utu mō te tirotiro CT iti-horopeta tata ki te $1,631 mō ia tangata. I tatauhia e te tīma ngā ōwehenga utu-whai hua (ICER) i runga i ngā whakaaro maha, ā, i hua ake ko ngā ICER o te $52,000 i ia tau oranga kua piki ake me te $81,000 i ia tau oranga kua whakatikatikaina te kounga (QALY). Ko ngā QALY te take o te rerekētanga i waenga i te noho hauora pai me te ora tonu me ngā raruraru hauora nui, e ai ki te panuitanga pāpāho.
He inenga uaua te ICER, engari ko te ture matua ko te whakaaro kia whai hua te utu mō ngā kaupapa kei raro iho i te $100,000. Ahakoa he pai ngā hua o ēnei, e ahu mai ana ngā tātaitanga i ētahi whakaaro e whai pānga nui ana ki ngā hua. Me te maumahara ki tēnei, ko te whakatau matua o te rangahau ko te angitu pūtea o aua kaupapa tirotiro ka whakawhirinaki ki te āhua o te whakatinanatanga.
Ahakoa he pai ake te whakaahua i te mate pukupuku pūkahukahu mā te whakamahi i ngā karapa CT i te whakamahi i ngā hihi-X, kei te haere tonu ngā rangahau hei whakapai ake i ngā karapa CT. Nō nā tata nei, i roto i tētahi tuhinga i whakaputaina ki Med Device Online, i kōrerohia ai ngā pūmanawa whakaahua hei āwhina i te whakapai ake i te kimi i ngā pona pūkahukahu.
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Wā tuku: Mei-07-2024
