[1]蔡逸舟史黎炜肖月.CT卫生技术评估报告分析及启示[J].中国卫生质量管理,2022,29(06):018-24.[doi:10.13912/j.cnki.chqm.2022.29.6.05 ]
　CAI Yizhou,SHI Liwei,XIAO Yue.Analysis and Enlightenment of Health Technology Assessment Report of Computed Tomography Scanner[J].Chinese Health Quality Management,2022,29(06):018-24.[doi:10.13912/j.cnki.chqm.2022.29.6.05 ]
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CT卫生技术评估报告分析及启示
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年06期
页码:
018-24
栏目:
特别关注
出版日期:
2022-06-28

文章信息/Info

Title:
Analysis and Enlightenment of Health Technology Assessment Report of Computed Tomography Scanner
作者:
蔡逸舟史黎炜肖月
中南大学湘雅公共卫生学院
Author(s):
CAI Yizhou; SHI Liwei; XIAO Yue
Xiangya School of Public Health, Central South University
关键词:
大型医用设备; X线计算机断层扫描仪; 卫生技术评估
Keywords:
Large Medical Equipment;  X-Ray Computed Tomography Scanner;  Health Technology Assessment
分类号:
R197.39
DOI:
10.13912/j.cnki.chqm.2022.29.6.05
文献标志码:
A
摘要:
目的为我国开展影像学诊断设备卫生技术评估（HTA）提供方法学参考。方法检索国际卫生技术评估机构网站，对纳入的CT HTA报告进行结构化信息提取和分析。结果共纳入4个国家6家机构的24篇HTA报告。其中，快速卫生技术评估12篇，全面卫生技术评估12篇。评估核心维度为有效性、经济性和安全性。纳入报告均采用了文献综述分析，部分针对重大决策的HTA进行了Meta分析、成本-效果分析和预算影响分析。 结论可为我国CT等影像学诊断设备技术评估提供参考，提高我国大型医疗设备治理决策的科学化水平。
Abstract:
ObjectiveTo provide methodological reference for the development of health technology assessment (HTA) on CT in China.MethodsThe international HTA agency website was retrieved and the structural information of the HTA report of CT was extracted and analyzed. ResultsA total of 24 HTA reports were included from 6 HTA institutions in 4 countries, including 12 rapid HTA and 12 full HTA. The core dimensions of HTA were effectiveness, economic and safety. The literature review was used in all included studies, and the meta-analysis, cost effect analysis and budget management were carried out for HTA of major decisions.Conclusion It can provide reference for the technical evaluation of imaging diagnostic equipment such as CT, and improve the scientific level of the decision-making of large medical equipment in China.

参考文献/References:

［1］GINAT DT,GUPTA R. Advances in computed tomography imaging technology［J］.Annual Review of Biomedical Engineering, 2014, 16: 431-453. ［2］田奉委,吴 尚.浅谈肿瘤专科医院大型医用设备管理［J］.中国医院建筑与装备,2018,19(6):83-84. ［3］郭良友.大型医用设备管理和使用效益分析［J］.吉林医学,2010,31(28):5056-封三. ［4］魏 涵,谭 玲,杨 练, 等.四川省“十二五”期间大型医用设备配置与使用情况分析［J］.卫生软科学,2019,33(8):49-53. ［5］夏 婷,李 庚,许靖宇,等.某三级医院CT与MRI使用现状评估及改进建议［J］.中国卫生质量管理,2021,28(7):10-13. ［6］国家卫生健康委员会.《大型医用设备配置许可管理目录 (2018年)》政策解读［EB/OL］.(2009-11-05)［2021-12-15］.http://www.nhc.gov.cn/guihuaxxs/s3586/201804/da87c8aa190e4620bab727b8 8d39cc00.shtml. ［7］肖 月.HTA为大型设备配置提供循证依据［J］.中国卫生,2018(5):50-51. ［8］樊 宏,刘越泽,刘晓宇.卫生技术评估在大型医用设备合理配置中的应用［J］.卫生软科学,2007,21(2):127-128. ［9］金春林,王海银,陈洁.卫生技术评估方法、应用与发展建议［J］.中国卫生资源,2014,17(1):1-2，25. ［10］宁艳阳.卫生技术评估:面临本土化挑战［J］.中国卫生,2018(9):77-78. ［11］MaHTAS. Whole Body Computed Tomography (WBCT) in adult with major blunt trauma injuries［EB/OL］.(2017)［2021-02-07］.http://www.moh.gov.my/index.php/database_stores/store_view_page/30/318. ［12］MOWATT G, CUMMINS E, WAUGH N, et al. Systematic review of the clinical effectiveness and cost-effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of coronary artery disease ［J］. Health Technology Assessment, 2008, 12(17): iii-iv, iix-143. ［13］MaHTAS. Cone beam computed tomography［EB/OL］.(2014)［2021-12-15］. http://www.moh.gov.my/index.php/database_stores/store_view_page/30/242. ［14］MILVERTON J, ELLERY B, GUM D, et al. Computed tomography colonography for the diagnosis or exclusion of colorectal neoplasia ［EB/OL］.(2014-04)［2021-12-15］. http://www.msac.gov.au/internet/msac/publishing.nsf/Content/completed-assessments. ［15］WAUGH N, BLACK C, WALKER S, et al. The effectiveness and cost-effectiveness of computed tomography screening for coronary artery disease: systematic review ［J］. Health Technology Assessment, 2006, 10(39):iii-iv, ix-x,1-41. ［16］HO C, HEITMAN S, MEMBE SK, et al.Computed tomographic colonography for colorectal cancer screening in an average risk population: systematic review and economic evaluation［R］. Ottawa: Canadian Agency for Drugs and Technologies in Health,2008. ［17］CADTH. Computed tomography angiography for diagnosis of stroke or transient ischemic attack: a review of the clinical effectiveness［EB/OL］.(2016-11)［2021-12-15］.https://www.cadth.ca/search?keywords=Computed+Tomography+Angiography+for+Diagnosis+of+Stroke+or+Transient+Ischemic+Attack%3A+A+Review+of+the+Clinical+Effectiveness. ［18］CADTH. Computed tomography angiography versus computed tomography for the diagnosis and management of hyperacute stroke: a review of comparative clinical evidence and guidelines［EB/OL］.(2013-12-10)［2021-02-07］. https://www.cadth.ca/search?keywords=Computed+Tomography+Angiography+versus+Computed+Tomography+for+the+Diagnosis+and+Management+of+Hyperacute+Stroke%3A+A+Review+of+Comparative+Clinical+Evidence+and+Guidelines. ［19］CADTH. Computed tomography to evaluate children with suspected appendicitis: clinical and cost-effectiveness, diagnostic accuracy, and guidelines［EB/OL］.(2015-04-07)［2021-12-15］. https://www.cadth.ca/search?keywords=Computed+Tomography+to+Evaluate+Children+with+Suspected+Appendicitis%3A+Clinical+and+Cost-Effectiveness%2C+Diagnostic+Accuracy%2C+and+Guidelines. ［20］CADTH. Computed tomography: a review of the risk of cancer associated with radiation exposure［EB/OL］.(2009-08-18)［2021-12-15］. https://www.cadth.ca/search?keywords=Computed+Tomography%3A+A+Review+of+the+Risk+of+Cancer+Associated+with+Radiation+Exposure. ［21］CHEN S, MOULTON K, SPRY C. Computed tomography for pediatric patients: review of clinical effectiveness and indications for use［R］.Ottawa: Canadian Agency for Drugs and Technologies in Health, 2009. ［22］CADTH. Bone scan and computed tomography scan in male patients with low-risk prostate cancer: clinical effectiveness and guidelines［EB/OL］.(2015-04-02)［2021-12-15］. https://www.cadth.ca/search?keywords=Bone+Scan+and+Computed+Tomography+Scan+in+Male+Patients+with+Low-Risk+Prostate+Cancer%3A+Clinical+Effectiveness+and+Guidelines. ［23］CADTH. Radiation emissions from computed tomography: a review of the risk of cancer and guidelines［EB/OL］.(2014-06-04)［2021-12-15］. https://www.cadth.ca/search?keywords=Radiation+Emissions+from+Computed+Tomography%3A+A+Review+of+the+Risk+of+Cancer+and+Guidelines. ［24］CADTH. Computed tomography angiography for diagnosis of stroke or transient ischemic attack: clinical effectiveness［EB/OL］.(2016-11-30)［2021-12-15］. https://www.cadth.ca/search?keywords=Computed+Tomography+Angiography+for+Diagnosis+of+Stroke+or+Transient+Ischemic+Attack%3A+Clinical+Effectivenes-s. ［25］CADTH. Low-dose computed tomography for lung cancer screening: a review of the clinical effectiveness, diagnostic accuracy, cost-effectiveness, and guidelines［EB/OL］.(2015-09-22)［2021-12-15］. https://www.cadth.ca/search?keywords=Low-Dose+Computed+Tomography+for+Lung+Cancer+Screening%3A+A+Review+of+the+Clinical+Effectiveness%2C+Diagnostic+Accuracy%2C+Cost-Effectiveness%2C+and+Guidelines. ［26］MURTAGH J, WARBURTON RN, FOERSTER V, et al. CT and MRI for selected clinical disorders: a systematic review of economic evaluations［R］. Ottawa: Canadian Agency for Drugs and Technologies in Health,2006. ［27］CADTH. Computed tomography guided versus ultrasound guided renal biopsy: comparative evidence［EB/OL］.(2013-02-25)［2021-12-15］. https://www.cadth.ca/search?keywords=Computed+Tomography+Guided+versus+Ultrasound+Guided+Renal+Biopsy%3A+Comparative+Evidence. ［28］FOERSTER V, MURTAGH J, LENTLE BC, et al. CT and MRI for selected clinical disorders: a systematic review of clinical systematic reviews［R］. Ottawa: Canadian Coordinating Office for Health Technology Assessment，2005. ［29］CADTH. Colonoscopy versus sigmoidoscopy and CT colonography: a clinical and cost effectiveness review［EB/OL］.(2008-03-07)［2021-12-15］. https://www.cadth.ca/search?keywords=Colonoscopy+versus+Sigmoidoscopy+and+CT+Colonography%3A+A+Clinical+and+Cost+Effectiveness+Review. ［30］CADTH. CT colonography versus colonoscopy and/or sigmoidoscopy for the diagnosis and treatment planning of colorectal cancer: A review of the comparative clinical and cost effectiveness and guidelines for use［EB/OL］.(2012-12-19)［2021-12-15］.https://www.cadth.ca/search?keywords=CT+Colonography+versus+Colonoscopy+and%2For+Sigmoidoscopy+for+the+Diagnosis+and+Treatment+Planning+of+Colorectal+Cancer%3A+A+Review+of+the+Comparative+Clinical+and+Cost+Effectiveness+and+Guidelines+for+Use. ［31］SECRETARIAT MA. 64-slice computed tomographic angiography for the diagnosis of intermediate risk coronary artery disease: an evidence-based analysis ［J］. Ontario Health Technology Assessment Series, 2010, 10(11): 1-44. ［32］SECRETARIAT MA. Computed Tomographic (CT) colonography for colorectal cancer screening: an evidence-based analysis ［J］. Ontario Health Technology Assess Series, 2009, 9(7): 1-90. ［33］SECRETARIAT MA. Multidetector computed tomography for coronary artery disease screening in asymptomatic populations: evidence-based analysis ［J］. Ontario Health Technology Assessment Series, 2007, 7(3): 1-56. ［34］Institute of Health Economics. Low dose computed tomography for the screening of lung cancer in adults［EB/OL］. (2014-05-30)［2021-12-15］.https://www.ihe.ca/publications/low-dose-computed-tomography-for-the-screening-of-lung-cancer-in-adults. ［35］HALLIGAN S, WOOLDRAGE K, DADSWELL E, et al. Computed tomographic colonography versus barium enema for diagnosis of colorectal cancer or large polyps in symptomatic patients (SIGGAR): a multicentre randomised trial ［J］. Lancet, 2013, 381(9873): 1185-1193. ［36］程文迪,孙 辉,房 良,等.泰国卫生技术评估机制建设现状及启示［J］.中国卫生质量管理,2020,27(1):109-113. ［37］夏 晴,熊季霞,姚育楠.国内医改前后卫生技术评估研究对比［J］.医学信息学杂志,2020,41(10):18-22. ［38］HAILEY D. Toward transparency in health technology assessment: a checklist for HTA reports ［J］. International Journal of Technology Assessment in Health Care, 2003, 19(1): 1-7.

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更新日期/Last Update: 2022-06-28