作者
Sean WX Ong, Alice Zhabokritsky, Nick Daneman, Steven YC Tong, Harindra C Wijeysundera
发表日期
2023/11/1
期刊
Clinical Microbiology and Infection
卷号
29
期号
11
页码范围
1417-1423
出版商
Elsevier
简介
Objectives The use of positron emission tomography/computed tomography (PET/CT) in the evaluation of patients with Staphylococcus aureus bacteraemia can improve the diagnosis of infectious foci and guide clinical management. We aimed to evaluate the cost-utility of PET/CT among adults hospitalized with Staphylococcus aureus bacteraemia. Methods A cost-utility analysis was conducted from the healthcare payer perspective using a probabilistic Markov cohort model assessing three diagnostic strategies:(a) PET/CT in all patients,(b) PET/CT in high-risk patients only, and (c) routine diagnostic workup. Primary outcomes were quality-adjusted life years (QALYs), costs in Canadian dollars, and an incremental cost-effectiveness ratio. Deterministic and probabilistic sensitivity analyses were conducted to evaluate parameter uncertainty. Results Routine workup resulted in an average of 16.64 QALYs from the time …
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