@文章{Chouaid1554，作者= {Chouaid, C and Housset, B and Lebeau, B}，标题= {hiv感染者卡氏肺孢子虫肺炎四种诊断策略的成本分析}，卷={8}，数={9}，页数={1554—1558}，年份= {1995}，doi ={10.1183/09031936.95.08091554}，出版商={欧洲呼吸学会}，188bet官网地址本研究的目的是分析四种诊断策略对感染人类免疫缺陷病毒(HIV)患者卡氏肺孢子虫肺炎(PCP)的成本-效果比。210例疑似PCP的hiv感染患者行诱导痰(IS)，如阴性，行支气管肺泡灌洗(BAL);其中85例患者在诱导痰液和BAL前进行了运动测试(ET)。分析了以下策略:BAL策略(怀疑PCP时进行BAL);IS策略(诱导痰，如果阴性则BAL);运动测试(ET)策略，(如果结果异常，先进行ET，然后进行BAL);ES(运动痰)策略(即ET异常、IS阴性后才BAL)。每种策略的成本都是通过只考虑直接成本来计算的;文中还评估了两种给定策略成本等价的条件。 The prevalence of PCP in this population was 31\%; IS had 100\% specificity and 71\% sensitivity, whilst ET had 100\% sensitivity and 77\% specificity. The costs of BAL, IS, ET and ES strategies were 210,000, 191,940, 140,700 and 112,700 FF, respectively. The ES strategy is, thus, most suitable for our unit. The most economic strategy depends not only on the cost and characteristics of the procedures, but also on the prevalence of PCP in the test population. In conclusion, we developed a model for use by diagnostic centres in choosing the most suitable strategy, on the basis of the local prevalence of PCP.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/8/9/1554}, eprint = {//www.qdcxjkg.com/content/8/9/1554.full.pdf}, journal = {European Respiratory Journal} }