دورية أكاديمية
أعرض في EDS

Cost of Follow Up After Endovascular Abdominal Aortic Aneurysm Repair in Patients With an Initial Post-Operative Computed Tomography Angiogram Without Abnormalities.

التفاصيل البيبلوغرافية
العنوان: Cost of Follow Up After Endovascular Abdominal Aortic Aneurysm Repair in Patients With an Initial Post-Operative Computed Tomography Angiogram Without Abnormalities.
المؤلفون: Geraedts ACM; Amsterdam University Medical Centres, University of Amsterdam, Amsterdam Cardiovascular Sciences, Department of Surgery, Amsterdam, The Netherlands., van Dieren S; Amsterdam University Medical Centres, University of Amsterdam, Amsterdam Cardiovascular Sciences, Department of Surgery, Amsterdam, The Netherlands., Mulay S; Amsterdam University Medical Centres, University of Amsterdam, Amsterdam Cardiovascular Sciences, Department of Surgery, Amsterdam, The Netherlands., Vahl AC; OLVG, Department of Surgery, Amsterdam, The Netherlands., Koelemay MJW; Amsterdam University Medical Centres, University of Amsterdam, Amsterdam Cardiovascular Sciences, Department of Surgery, Amsterdam, The Netherlands., Balm R; Amsterdam University Medical Centres, University of Amsterdam, Amsterdam Cardiovascular Sciences, Department of Surgery, Amsterdam, The Netherlands. Electronic address: r.balm@amsterdamumc.nl.
مؤلفون مشاركون: ODYSSEUS Study Group
المصدر: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [Eur J Vasc Endovasc Surg] 2022 Dec; Vol. 64 (6), pp. 602-608. Date of Electronic Publication: 2022 Sep 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 9512728 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2165 (Electronic) Linking ISSN: 10785884 NLM ISO Abbreviation: Eur J Vasc Endovasc Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2002-: London : Elsevier
Original Publication: London, UK : W.B. Saunders Co. Ltd., c1995-
مواضيع طبية MeSH: Aortic Aneurysm, Abdominal*/diagnostic imaging , Aortic Aneurysm, Abdominal*/surgery , Endovascular Procedures*/methods , Blood Vessel Prosthesis Implantation*/adverse effects, Humans ; Cost-Benefit Analysis ; Tomography, X-Ray Computed ; Angiography ; Treatment Outcome ; Retrospective Studies
مستخلص: Objective: The Observing a Decade of Yearly Standardised Surveillance in EVAR patients with Ultrasound or CT Scan (ODYSSEUS) study was conducted to assess differences in outcomes of patients with continued or discontinued yearly follow up after endovascular abdominal aortic aneurysm repair (EVAR). Earlier results of this study showed that discontinued follow up was not associated with poor outcomes. Therefore, an incremental cost analysis and budget impact analysis of de-implementation of yearly imaging following EVAR was performed.
Methods: In total, 1 596 patients from the ODYSSEUS study were included. The expected cost savings were assessed if yearly imaging was reduced in patients with a post-operative computed tomography angiogram without abnormalities made around 30 days after EVAR. Costs were derived from the Dutch costs manual, benchmark cost prices, and literature review. Costs were expressed in euros (€) and displayed at 2019 prices. Sensitivity analysis was performed by varying costs.
Results: A difference of 24% in cost was found between patients with continued and discontinued imaging follow up. The cost per patient was €1 935 in the continued group vs. €1 603 per patient in the discontinued group at five years post-EVAR, with a mean difference of €332 (95% bias corrected and accelerated bootstrap confidence interval -741 to 114). De-implementation of yearly imaging would result in an annual nationwide cost saving of €678 471. Sensitivity analysis with variation in adherence rates, imaging, or secondary intervention costs resulted in a saving of at least €271 388 per year.
Conclusion: This study provided an in depth analysis of hospital costs for post-EVAR patients in the Netherlands with a modest impact on the Dutch healthcare budget.
(Copyright © 2022. Published by Elsevier B.V.)
فهرسة مساهمة: Investigator: R Balm, Department of Surgery, Amsterdam University Medical Centres (location: Academic Medical Centre), Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.; JW Elshof, Department of Surgery, VieCuri Medical Centre, Venlo, The Netherlands.; BHP Elsman, Department of Surgery, Deventer Hospital, Deventer, The Netherlands.; JF Hamming, Department of Surgery, Leiden University Medical Centre, Leiden, The Netherlands.; MJW Koelemay, Department of Surgery, Amsterdam University Medical Centres (location: Academic Medical Centre), Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.; RHJ Kropman, Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.; PP Poyck, Department of Vascular and Transplant Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.; GWH Schurink, Department of Vascular Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.; AAEA de Smet, Department of Surgery, Maasstad Hospital, Rotterdam, The Netherlands.; SM van Sterkenburg, Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands.; C Ünlü, Department of Surgery, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands.; AC Vahl, Department of Surgery, OLVG, Amsterdam, The Netherlands.; HJM Verhagen, Department of Vascular Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands.; PWHE Vriens, Department of Surgery, Elisabeth-TweeSteden Hospital (ETZ), Tilburg, The Netherlands.; JPPM de Vries, Department of Surgery, Division of Vascular Surgery, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.; JJ Wever, Department of Surgery, Haga Hospital, The Hague, The Netherlands.; W Wisselink, Department of Surgery, Amsterdam University Medical Centres (location: VU University Medical Centre), Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.; CJ Zeebregts, Department of Surgery, Division of Vascular Surgery, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Keywords: Abdominal; Aortic aneurysm; Costs benefit analysis; Endovascular procedures; Retrospective studies
تواريخ الأحداث: Date Created: 20220911 Date Completed: 20221219 Latest Revision: 20230112
رمز التحديث: 20230112
DOI: 10.1016/j.ejvs.2022.08.031
PMID: 36089184
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-2165
DOI:10.1016/j.ejvs.2022.08.031