Mitral Valve Repair for Patients With Pure Mitral Insufficiency

Kay, Jerome Harold

doi:10.1001/jama.1976.03270150018021

Cited by 9 publications

(1 citation statement)

References 14 publications

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“…There are two surgical approaches to the treatment of mitral valve disease: reconstruction of the damaged valve and replacement with an artificial device. With the development and continued refinement of prosthetic and bioprosthetic valve technology, there has been a concurrent increase in their use by surgeons (7). Their availability has had the effect of decreasing the interest of surgeons in reconstructive techniques (2;12), and there is little training in valve reconstruction (11).…”

Section: Introductionmentioning

confidence: 99%

A Cost-Effectiveness Comparison of Surgical Treatments for Mitral Valve Disease

Papageorge

Schweitzer

1988

Int J Technol Assess Health Care

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This study compares the cost-effectiveness of mitral valve reconstruction and replacement. Published clinical data were used to determine the effectiveness of each procedure. Both direct and indirect costs were calculated. The findings indicate that reconstruction has lower costs per year of life extended than replacement due to better outcomes. Changing outcome probabilities and discount rates did not alter these results. Cost savings in excess of 40% may be achieved by early reconstruction for suitable patients. These results suggest that the prevailing practice of delaying surgery until replacement is needed should be reconsidered, especially for patients who could benefit from reconstruction.

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Section: Introductionmentioning

confidence: 99%