Incremental cost–effectiveness of percutaneous versus surgical closure of atrial septal defects in children under a public health system perspective in Brazil

Costa, Rodrigo Nieckel da; Pedra, Carlos A. C.; Ribeiro, Marcelo Silva; Pedra, Simone Fontes; Ferreira-Da-Silva, André Luis; Polanczyk, Carísi Anne; Berwanger, Otávio; Biasi, Alexandre; Ribeiro, Rodrigo Antonini

doi:10.1586/14779072.2014.967216

Cited by 5 publications

(1 citation statement)

References 49 publications

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“…El modelo de árbol de decisión se basa en uno previamente publicado que evalua la técnica de cierre percutáneo en pacientes con comunicación interauricular 51 . Aplicado a nuestro caso, la simulación se inicia con un paciente que presenta CIV con indicación para cualquiera de las tres técnicas evaluadas: cierre percutáneo (PC), cierre perventricular (PV) y cierre quirúrgico (Qx).…”

Section: Estructura Del Modelounclassified

Tratamiento de la Comunicación Interventricular (CIV) congénita con dispositivos de inserción percutánea y perventricular

Vázquez¹,

Martín-Sánchez²,

Muñoz³

et al. 2022

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Los desenlaces analizados muestran una incidencia de eventos baja sin que el análisis haya mostrado diferencias estadísticamente significativas entre técnicas y, además, presentan limitaciones importantes por la heterogeneidad en los diseños de los estudios considerados. No hay pruebas científicas que permitan dilucidar si la técnica quirúrgica estándar o el cierre de la CIV mediante el uso de dispositivos es más eficaz que la otra. En términos de necesidad de reintervención para el control de sangrado o de necesidad de transfusión sanguínea, la técnica percutánea parece más segura que la técnica quirúrgica estándar. Si las circunstancias clínicas lo permiten, la información disponible sobre eficacia y seguridad debe ser compartida con los familiares para el proceso de toma de decisiones compartidas. Con cautela, el cierre de la CIV mediante la técnica de inserción percutánea supone una estrategia socialmente eficiente, respecto a la cirugía estándar.

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Section: Estructura Del Modelounclassified

Tratamiento de la Comunicación Interventricular (CIV) congénita con dispositivos de inserción percutánea y perventricular

Vázquez¹,

Martín-Sánchez²,

Muñoz³

et al. 2022

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Economic Analysis of Children’s Surgical Care in Low- and Middle-Income Countries: A Systematic Review and Analysis

et al. 2016

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BackgroundUnderstanding the economic value of health interventions is essential for policy makers to make informed resource allocation decisions. The objective of this systematic review was to summarize available information on the economic impact of children’s surgical care in low- and middle-income countries (LMICs).MethodsWe searched MEDLINE (Pubmed), Embase, and Web of Science for relevant articles published between Jan. 1996 and Jan. 2015. We summarized reported cost information for individual interventions by country, including all costs, disability weights, health outcome measurements (most commonly disability-adjusted life years [DALYs] averted) and cost-effectiveness ratios (CERs). We calculated median CER as well as societal economic benefits (using a human capital approach) by procedure group across all studies. The methodological quality of each article was assessed using the Drummond checklist and the overall quality of evidence was summarized using a scale adapted from the Agency for Healthcare Research and Quality.FindingsWe identified 86 articles that met inclusion criteria, spanning 36 groups of surgical interventions. The procedure group with the lowest median CER was inguinal hernia repair ($15/DALY). The procedure group with the highest median societal economic benefit was neurosurgical procedures ($58,977). We found a wide range of study quality, with only 35% of studies having a Drummond score ≥ 7.InterpretationOur findings show that many areas of children’s surgical care are extremely cost-effective in LMICs, provide substantial societal benefits, and are an appropriate target for enhanced investment. Several areas, including inguinal hernia repair, trichiasis surgery, cleft lip and palate repair, circumcision, congenital heart surgery and orthopedic procedures, should be considered “Essential Pediatric Surgical Procedures” as they offer considerable economic value. However, there are major gaps in existing research quality and methodology which limit our current understanding of the economic value of surgical care.

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A review of the economics of adult congenital heart disease

Seckeler

Thomas

Andrews

et al. 2016

Expert Review of Pharmacoeconomics & Outcomes Research

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Adults living with congenital heart disease (CHD) now outnumber children with the disease. Thanks to medical advances over the past 75 years, many of these fatal childhood heart problems have changed to chronic medical conditions. As the population of adults with CHD increases, they will require increasingly complex medical, surgical and catheter-based therapies. In addition, social burdens including education, employment and insurability, which increase the societal costs of adult CHD, are now being recognized for adults living with CHD. This review summarizes the available literature on the economics of adult CHD.

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Incremental cost–effectiveness of percutaneous versus surgical closure of atrial septal defects in children under a public health system perspective in Brazil

Cited by 5 publications

References 49 publications

Tratamiento de la Comunicación Interventricular (CIV) congénita con dispositivos de inserción percutánea y perventricular

Tratamiento de la Comunicación Interventricular (CIV) congénita con dispositivos de inserción percutánea y perventricular

Economic Analysis of Children’s Surgical Care in Low- and Middle-Income Countries: A Systematic Review and Analysis

A review of the economics of adult congenital heart disease

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