Atrioventricular block cost-effectiveness of therapy: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Atrioventricular block}} | {{Atrioventricular block}} | ||
{{CMG}} {{AE}} {{EdzelCo}} | |||
==Overview== | |||
*Some [[patients]] who develop a [[high-degree atrioventricular blocks]] often require a placement of [[pacemakers]]. | |||
*An evaluation of the [[cost-effectiveness]] of [[therapy]] is imperative to serve as a guide in [[decision-making]]. | |||
==Atrioventricular Block Cost-Effectiveness of Therapy== | |||
*High-degree [[atrioventricular blocks]] often need the placement of [[pacemakers]]. | |||
*while this [[medical device]] provide a good and reliable [[therapy]], its implantation is not without serious harmful implications. | |||
*A watchful waiting is a good strategy over an earlier [[surgery]] for a more [[cost-effective]] outcome. | |||
*Even if watchful waiting entails a higher cost ($171,798 ± $45,695 p<0.0001) than an earlier [[surgery]] ($165,436 ± $52,923, p<0.0001), it was shown that it has a higher utility (9.05 ± 1.36 vs. 8.55 ± 1.33 QALYs, p<0.0001). | |||
*Watchful waiting is shown to have an accumulative [[cost-effectiveness ratio]] of $12,724 per [[quality-adjusted life year]] ([[QALY]]). <ref name="pmid33279841">{{cite journal| author=Beller JP, Tyerman Z, Mehaffey JH, Hawkins RB, Charles EJ, Yarboro LT | display-authors=etal| title=Early Versus Delayed Pacemaker for Heart Block After Valve Surgery: A Cost-Effectiveness Analysis. | journal=J Surg Res | year= 2021 | volume= 259 | issue= | pages= 154-162 | pmid=33279841 | doi=10.1016/j.jss.2020.11.038 | pmc=7897291 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33279841 }} </ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[CME Category::Cardiology]] | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Electrophysiology]] | [[Category:Electrophysiology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Latest revision as of 00:47, 21 November 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Edzel Lorraine Co, DMD, MD[2]
Overview
- Some patients who develop a high-degree atrioventricular blocks often require a placement of pacemakers.
- An evaluation of the cost-effectiveness of therapy is imperative to serve as a guide in decision-making.
Atrioventricular Block Cost-Effectiveness of Therapy
- High-degree atrioventricular blocks often need the placement of pacemakers.
- while this medical device provide a good and reliable therapy, its implantation is not without serious harmful implications.
- A watchful waiting is a good strategy over an earlier surgery for a more cost-effective outcome.
- Even if watchful waiting entails a higher cost ($171,798 ± $45,695 p<0.0001) than an earlier surgery ($165,436 ± $52,923, p<0.0001), it was shown that it has a higher utility (9.05 ± 1.36 vs. 8.55 ± 1.33 QALYs, p<0.0001).
- Watchful waiting is shown to have an accumulative cost-effectiveness ratio of $12,724 per quality-adjusted life year (QALY). [1]
References
- ↑ Beller JP, Tyerman Z, Mehaffey JH, Hawkins RB, Charles EJ, Yarboro LT; et al. (2021). "Early Versus Delayed Pacemaker for Heart Block After Valve Surgery: A Cost-Effectiveness Analysis". J Surg Res. 259: 154–162. doi:10.1016/j.jss.2020.11.038. PMC 7897291 Check
|pmc=value (help). PMID 33279841 Check|pmid=value (help).