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- 足立 香代子
- せんぽ東京高輪病院栄養管理室
書誌事項
- タイトル別名
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- Cost-Effectiveness Analysis of Treatment by Drugs and Nutritional Therapy for Hyperlipidemia
- コウシケッショウ ニ オケル エイヨウ シドウ ノ アリカタ ト チリョウホウ ベツ ヒヨウ コウカ ブンセキ
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説明
The medical cost in a year was analyzed for patients with hyperlipidemia according to the Mark method for analyzing cost-effectiveness. The patients were divided into groups undergoing nutritional therapy alone (N group: 83), nutritional therapy combined with drugs (N-D group: 17), and drug therapy (D group: 20). The medical cost of \42, 122 (337 at =\125) for each patient in the N group was \90, 000-\100, 000 less expensive than the costs for the N-D group and D group, being related to the types of drugs and the complications.<br>Those patients with hypercholesterolemia (high TC) showed no difference in TC reduction among the groups. The patients in the N group with a TC level of more than 260mg/dl showed a greater TC reduction than those in the D group (-14.8±10.9% vs -4.7±9.7%, p<0.05). The total cost/patient in the N group was \61, 748 (494), this being \140, 000-\160, 000 less expensive than the treatment for the patients in the N-D and D groups.<br>The patients in the N group with a TC level of less than 260mg/dl showed a greater TC reduction than those in the D group, while the patients with a triglyceride (TG) level of more than 150mg/dl (high TG) showed no difference in TG reduction among the groups. The annual total cost/patient for the N group was \54, 367 (435), compared with \80, 000 (640) and \180, 000 (1, 440) for the N-D and D groups, respectively.<br>Nutritional therapy for the patients with a TC level of more than 260mg/dl and for those with high TG was more cost-effective than the treatments used for the N-D and D groups. Nutritional therapy should therefore be considered as the primary treatment in terms of reducing medical cost.<br>The effectiveness of treating by nutritional therapy needs to be based on a diagnosic examination and physical measurement of each patient to provide the optimum treatment.
収録刊行物
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- 栄養学雑誌
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栄養学雑誌 60 (5), 223-230, 2002
特定非営利活動法人 日本栄養改善学会
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詳細情報 詳細情報について
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- CRID
- 1390282681524475136
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- NII論文ID
- 130003448333
- 10012316476
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- NII書誌ID
- AN00023058
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- ISSN
- 18837921
- 00215147
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- NDL書誌ID
- 6329876
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- NDL
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