Pacing and Outcomes: Economic Implications

Mahoney, Chris

doi:10.1007/978-1-4613-1415-8_5

Cited by 6 publications

(7 citation statements)

References 54 publications

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“…There were variations in the types of costs considered in each, and this partly accounts for the divergent conclusions shown. Two studies 95,96 concluded that overall costs for dual-chamber were greater than single-chamber pacing and two 97,98 reached the opposite conclusion.…”

Section: Progression To Avbmentioning

confidence: 99%

The effectiveness and cost-effectiveness of dual-chamber pacemakers compared with single-chamber pacemakers for bradycardia due to atrioventricular block or sick sinus syndrome: systematic review and economic evaluation

Castelnuovo

Steín²,

Pitt³

et al. 2005

Health Technol Assess

112

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Section: Progression To Avbmentioning

confidence: 99%

The effectiveness and cost-effectiveness of dual-chamber pacemakers compared with single-chamber pacemakers for bradycardia due to atrioventricular block or sick sinus syndrome: systematic review and economic evaluation

Castelnuovo

Steín²,

Pitt³

et al. 2005

Health Technol Assess

112

View full text Add to dashboard Cite

show abstract

“…Other costs are derived from national averages provided by numerous health care organizations and the government. [56][57][58][59] Comparison of costs can be found in Table 2. Cost savings are calculated using an estimated cost for each health outcome and multiplying it by the effect size for that particular health outcome.…”

Section: Economic Evaluationmentioning

confidence: 99%

“…Notice that costs from any system can be utilized and the probability of occurrence is multiplied by the desired cost basis. 59 An example for DRG 108, used to calculate costs for reoperation is as follows. The charged amount for DRG 108 is multiplied by 80% to reflect estimated costs:…”

Section: Economic Evaluationmentioning

confidence: 99%

Heparin-bonded circuits: clinical outcomes and costs

Mahoney

1998

Perfusion

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The aim of this study was to use meta-analysis to combine the results of numerous studies and examine the impact of heparin-bonded circuits on clinical outcomes and the resulting costs. Heparin-bonded circuits, both ionically and covalently bonded, are examined separately.The results of the study provide evidence that heparin-bonded circuits result in improved clinical outcomes when compared to the identical nonheparin-bonded circuits. These improved clinical outcomes result in subsequent lower costs per patient with their use. However, differences are apparent in the significance and magnitude of these outcomes between ionically and covalently bonded circuits. Covalently bonded circuits provide a greater magnitude and significance of improvement in clinical outcomes than ionically bonded circuits. Total cost savings can be expected to be three times greater with covalently bonded circuits ($3231 versus $1068).It was concluded that the choice regarding the use of a heparin-bonded circuits and the type of heparin-bonded circuit used has the potential to alter clinical outcomes and subsequent costs. Cost consideration cannot be ignored, but clinical benefits should be the main rationale for the choice of cardiopulmonary bypass circuit. This analysis provides evidence that clinical benefits and cost savings can both be derived from use of the same technology -covalently bonded circuits.

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“…12 Economic considerations related to dual-chamber pacing have recently been evaluated. 3,13 One investigator 3 has shown that in the long run, there is a significant cost benefit to implanting DDD pacemakers in patients with preserved sinus rhythm. In addition, meta-analysis of existing retrospective studies has also demonstrated a significant incremental cost associated with single-chamber ventricular pacing.…”

mentioning

confidence: 99%

“…In addition, meta-analysis of existing retrospective studies has also demonstrated a significant incremental cost associated with single-chamber ventricular pacing. 13 Critical appraisal of the current data (multiple large outcomes studies and small prospective randomized studies) leads us to believe that there is strong evidence to suggest that atrial-based pacing is superior to ventricular pacing in terms of hemodynamic and electrophysiological profiles, morbidity, and mortality, and consequently in long-term cost benefit as well as patient preference. There are limited subsets of patients for whom ventricular pacing is the mode of choice.…”

mentioning

confidence: 99%