Pub Date : 2024-07-26DOI: 10.14309/ajg.0000000000002989
Eric D. Shah, W. Chey
We aimed to evaluate the cost-effectiveness/cost-savings of point-of-care anorectal function testing with an investigational device (RED) to triage therapy for chronic constipation in general gastroenterology. A Markov model was constructed to evaluate cost-effectiveness/cost-savings over a one-year time horizon comparing empiric drug/pelvic floor physical therapy to testing-guided care. RED appears to inform the cost-effective strategy for chronic constipation. Compared to usual care without RED, it reduces insurer costs by $810 and patient costs by $6,903. Point-of-care testing using RED appears cost-effective/cost-saving to triage chronic constipation care in general gastroenterology.
我们的目的是评估使用研究设备(RED)进行护理点肛门直肠功能测试以分流治疗普通消化内科慢性便秘的成本效益/成本节约。 我们构建了一个马尔可夫模型,对经验性药物/盆底物理治疗与检测指导下的治疗进行比较,以评估一年时间内的成本效益/成本节约情况。 RED 似乎为治疗慢性便秘的成本效益策略提供了依据。与不使用 RED 的常规护理相比,它可使保险公司的成本降低 810 美元,使患者的成本降低 6903 美元。 使用 RED 进行护理点检测,对普通肠胃病学中的慢性便秘护理进行分流,似乎具有成本效益/节约成本。
{"title":"Optimizing cost-effective care for chronic constipation in general gastroenterology using an office-based, point-of-care test (RED): Cost-effectiveness and cost-minimization analysis","authors":"Eric D. Shah, W. Chey","doi":"10.14309/ajg.0000000000002989","DOIUrl":"https://doi.org/10.14309/ajg.0000000000002989","url":null,"abstract":"\u0000 \u0000 We aimed to evaluate the cost-effectiveness/cost-savings of point-of-care anorectal function testing with an investigational device (RED) to triage therapy for chronic constipation in general gastroenterology.\u0000 \u0000 \u0000 \u0000 A Markov model was constructed to evaluate cost-effectiveness/cost-savings over a one-year time horizon comparing empiric drug/pelvic floor physical therapy to testing-guided care.\u0000 \u0000 \u0000 \u0000 RED appears to inform the cost-effective strategy for chronic constipation. Compared to usual care without RED, it reduces insurer costs by $810 and patient costs by $6,903.\u0000 \u0000 \u0000 \u0000 Point-of-care testing using RED appears cost-effective/cost-saving to triage chronic constipation care in general gastroenterology.\u0000","PeriodicalId":503876,"journal":{"name":"American Journal of Gastroenterology","volume":"24 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141801361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-06DOI: 10.14309/ajg.0000000000002878
Tomohiro Ishii, A. Murakami, K. Sugimori, Shin Maeda
{"title":"Cholangioscopy for primary sclerosing cholangitis with biliary strictures using texture and color enhancement imaging and red dichromatic imaging","authors":"Tomohiro Ishii, A. Murakami, K. Sugimori, Shin Maeda","doi":"10.14309/ajg.0000000000002878","DOIUrl":"https://doi.org/10.14309/ajg.0000000000002878","url":null,"abstract":"","PeriodicalId":503876,"journal":{"name":"American Journal of Gastroenterology","volume":"102 8‐10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141381299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-24DOI: 10.14309/ajg.0000000000002875
Die Hu, Yi-Ni Dang, Xin-Min Si
{"title":"Rare pyloric adenomas characterized by giant circumferential lesions in and below the cardia","authors":"Die Hu, Yi-Ni Dang, Xin-Min Si","doi":"10.14309/ajg.0000000000002875","DOIUrl":"https://doi.org/10.14309/ajg.0000000000002875","url":null,"abstract":"","PeriodicalId":503876,"journal":{"name":"American Journal of Gastroenterology","volume":"4 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141100936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.14309/ajg.0000000000002543
D. Bergman, Björn Lindkvist, Jonas F. Ludvigsson
{"title":"Response to Ma et al","authors":"D. Bergman, Björn Lindkvist, Jonas F. Ludvigsson","doi":"10.14309/ajg.0000000000002543","DOIUrl":"https://doi.org/10.14309/ajg.0000000000002543","url":null,"abstract":"","PeriodicalId":503876,"journal":{"name":"American Journal of Gastroenterology","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}