Costs and health impact of delayed implementation of a national hepatitis B treatment program in China.
J Glob Health
; 12: 04043, 2022 Jul 08.
Статья
в английский
| MEDLINE | ID: covidwho-1924588
ABSTRACT
Background:
Hepatitis B virus (HBV) infection is a leading public health problem in China. COVID-19 pandemic has interrupted the delivery of health care interventions worldwide, including HBV infection control.Methods:
In this study, we used a Markov model to quantify the costs and population health impact of HBV treatment in China for the following scenarios 1) current practice with only 17% of treatment eligible HBV infected adults receiving antiviral treatment; 2) reaching the World Health Organization (WHO) treatment target of 80% by 2030 with a steady increase in treatment rate beginning in 2022; and 3) the effect of a 1-5-year delay in meeting the 2030 WHO treatment target. A one-way as well as a probabilistic sensitivity analysis were conducted.Results:
Without increasing antiviral treatment for treatment eligible HBV infected adults, the life-time health care costs for the estimated 89.2 million adults living with HBV in China is US$1305 billion and 10.8 million (12%) will die from HBV-related liver disease. Increasing treatment to achieve the WHO 80% target by 2030 would save US$472 billion and prevent 3.3 million HBV-related deaths. We estimated that a 1-year delay beyond 2030 in reaching the WHO 80% treatment target would likely lead to US$55 billion increase in future health care costs, and an additional 334 000 future deaths from HBV-related liver disease or cancer.Conclusions:
Reaching the WHO 2030 with minimal delays would have an immense health and economic benefit. Implementing a national treatment program for HBV in China should be a key priority for policymakers.
Полный текст:
Имеется в наличии
Коллекция:
Международные базы данных
база данных:
MEDLINE
Основная тема:
COVID-19
/
Hepatitis B
Тип исследования:
Экспериментальные исследования
/
Наблюдательное исследование
Пределы темы:
Люди
Страна как тема:
Азия
Язык:
английский
Журнал:
J Glob Health
Год:
2022
Тип:
Статья
Аффилированная страна:
Jogh.12.04043
Документы, близкие по теме
MEDLINE
...
LILACS
LIS