Idatha ye-National Lung Screening Trial (NLST) ikhombisa ukuthi ukuskena kwe-computed tomography (CT) kunganciphisa ukufa komdlavuza wamaphaphu ngamaphesenti angu-20 uma kuqhathaniswa ne-X-ray yesifuba. Ukuhlolwa okusha kwemininingwane kukhombisa ukuthi ingase futhi ibe nenzuzo ngokwezomnotho.
Ngokomlando, ukuhlolwa komdlavuza wamaphaphu kweziguli kuye kwenziwa nge-X-ray yesifuba, indlela engabizi kakhulu yokuxilonga. La ma-X-ray adutshulwa esifubeni, okwenza sonke isakhiwo sesifuba sibekwe esithombeni sokugcina se-2D. Nakuba ama-X-ray esifuba esetshenziswa kakhulu, ngokusho kwesitatimende sabezindaba sakamuva esivela eBrown University, ucwaningo olukhulu olwenziwe eminyakeni emine edlule, i-NLST, lubonise ukuthi ama-X-ray awasebenzi nhlobo ekuhlolweni komdlavuza.
Ngaphezu kokubonisa ukungasebenzi kahle kwe-X-ray, i-NLST iphinde yabonisa ukuthi ukufa kwehle ngamaphesenti angaba ngu-20 lapho kusetshenziswa ama-CT scan asezingeni eliphansi. Umgomo wokuhlaziywa okusha, okwenziwe ochwepheshe bezifo eBrown University, ukuthola ukuthi ama-CT scan avamile - abiza kakhulu kune-X-ray - anengqondo yini ohlelweni lokunakekelwa kwezempilo, ngokusho kwesitatimende sabezindaba.
Imibuzo enjalo ibalulekile endaweni yokunakekelwa kwempilo yanamuhla, lapho izindleko zokwenza ukuhlolwa kwe-CT njalo ezigulini zingase zingaluzuzisi uhlelo lonke.
“Izindleko ziyinto ebalulekile ngokwandayo, futhi ukwabela imali endaweni eyodwa kusho ukudela ezinye,” kusho u-Ilana Gareen, uprofesa osizayo we-epidemiology e-Brown University's School of Public Health, esitatimendeni sabezindaba.
Ucwaningo olushicilelwe kuyi-New England Journal of Medicine lwembule ukuthi ukuhlolwa kwe-CT ngomthamo ophansi kubiza cishe u-$1,631 ngomuntu ngamunye. Ithimba libale isilinganiso sokusebenza kahle kwezindleko (ama-ICER) ngokusekelwe ezicatshangweni ezahlukahlukene, okwaholela kuma-ICER angu-$52,000 ngonyaka wokuphila atholiwe kanye no-$81,000 ngonyaka wokuphila olungisiwe ngekhwalithi (ama-QALY). Ama-QALY achaza umehluko phakathi kokuphila impilo enhle nokusinda nezinkinga ezinkulu zempilo, njengoba kushiwo esitatimendeni sabezindaba.
I-ICER iyisilinganiso esiyinkimbinkimbi, kodwa umthetho oyinhloko ukuthi noma yimuphi umsebenzi ongaphansi kuka-$100,000 kufanele ubhekwe njengosebenza kahle. Nakuba le miphumela ithembisa, izibalo zisekelwe ezilinganisweni eziningana ezithinta kakhulu imiphumela. Ngalokhu engqondweni, isiphetho esiyinhloko socwaningo ukuthi impumelelo yezezimali yalezi zinhlelo zokuhlola izoncika endleleni ezisetshenziswa ngayo.
Nakuba ukuthwebula umdlavuza wamaphaphu usebenzisa ama-CT scan kuphumelela kakhulu kunokusebenzisa ama-X-ray, ucwaningo luyaqhubeka ukuze kuthuthukiswe ama-CT scan. Muva nje, isihloko esanyatheliswa ku-Med Device Online sixoxe ngesofthiwe yokuthwebula engasiza ekuthuthukiseni ukutholakala kwamaqhubu emaphashini.
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Mayelana ne-LnkMed
I-LnkMedungumkhiqizi ochwepheshe ogxile ocwaningweni, ekuthuthukisweni, ekukhiqizweni nasekuthengisweni kweama-injector e-contrast ejenti yokucindezela okuphezulukanye nokusekela izinto ezisetshenziswayo. Uma unezidingo zokuthengaI-CT single contrast media injector,Umjovo wekhanda eliphindwe kabili we-CT,Umjovo we-MRI contrast agent,I-Angiography yokucindezela okuphezulu, kanye namasirinji namapayipi, sicela uvakashele iwebhusayithi esemthethweni ye-LnkMed:https://www.lnk-med.com /ukuze uthole ulwazi olwengeziwe.
Isikhathi sokuthunyelwe: Meyi-07-2024


