Surgical Tourism: The Role of Cardiothoracic Surgery Societies in Evaluating International Surgery Centers

Jacobs, Jeffrey P.; Horowitz, Michael D.; Mavroudis, Constantine; Siegel, Allison; Sade, Robert M.

doi:10.1016/j.athoracsur.2013.02.058

Cited by 10 publications

(4 citation statements)

References 30 publications

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“…The average cost overruns of POAF that we found in our study are lower than those described in the literature; however, this is not only attributable to the well-documented difference in the costs of cardiac surgery in industrialized and developing countries [24] . A second important factor is that to fulfill the objectives of the study, we have controlled the influence of the main comorbidities that usually accompany POAF and the different incidences of POAF according to the type of surgery by carefully pairing the subjects by the EuroSCORE values and requiring the same type of surgery for each pair to be compared.…”

Section: Discussioncontrasting

confidence: 76%

Postoperative Atrial Fibrillation: Evaluation of its Economic Impact on the Costs of Cardiac Surgery

Hernández-Leiva¹,

Alvarado²,

Dennis³

2019

Braz J Cardiovasc Surg

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Objective The objective of this study was to calculate the direct costs of postoperative atrial fibrillation (POAF) in a high-complexity cardiovascular hospital. Methods We performed a cost analysis with a pairwise-matched design. Twenty-two patients with POAF and 22 patients without this complication were included. Pair-matching was performed (1:1) based on the following criteria: identical type of surgery, similar EuroSCORE II values, and absence of any other postoperative complication. Results The total hospital cost was significantly higher in the POAF group than in the non-POAF group (US$ 10,880 [± 2,688] vs . US$ 8,856 [± 1,782], respectively, for each patient; P =0.005). This difference was attributable to postoperative costs (US$ 3,103 [± 1,552] vs . US$ 1,238 [± 429]; P =0.0001) for patients with or without POAF, respectively. The median postoperative lengths of stay were 9 (range 5-17) and 5 (3-9) days for patients with and without POAF ( P =0.032), respectively. Preoperatively, no differences were found in the EuroSCORE II values (median 1.7 vs . 1.6, respectively; P =0.91) or direct costs (US$ 1,127 vs . US$ 1,063, respectively; P =0.56) between POAF and non-POAF groups. Conclusion POAF generates a high economic burden in the overall costs of cardiac surgery, and our results reveal the differential contribution of each of the evaluated factors. This information, which was previously unavailable in this setting, is essential for the development of more effective prevention strategies.

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Section: Discussioncontrasting

confidence: 76%

Postoperative Atrial Fibrillation: Evaluation of its Economic Impact on the Costs of Cardiac Surgery

Hernández-Leiva¹,

Alvarado²,

Dennis³

2019

Braz J Cardiovasc Surg

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“…[32][33][34] The rise of medical tourism has complicated the dynamic, and within the literature, there is debate about the role high-income surgeons and institutions can and should play evaluating LMIC cardiac programmes. 35 Our study reveals considerable and ongoing collaboration in the context of surgical research. It also highlights the need to ensure that these efforts be refocused, such that these partnerships begin producing the highest quality of evidence possible.…”

Section: Discussionmentioning

confidence: 84%

Cardiac surgery publications in Africa over the last 20 years: A literature review

Lin¹,

Till²,

Yi³

et al. 2020

S. Afr. J. Sci.

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There is a significant burden of surgically correctable cardiovascular disease in Africa. The goal of this research was to review the last 20 years of literature on this topic. A systematic search was performed using PubMed, Embase and African Index Medicus for the period 1996–2016. Publications came from 29 countries, all of different income brackets. Research output increased by 15-fold over the 20-year time period, with the majority of publications authored by local teams (71.4%) compared to visiting (4.9%) and mixed teams (23.7%). Although increasing, clinical reporting on cardiac surgery is still limited. Increased publication of results should be encouraged to better benchmark capacity and improve research capacity.

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“…51 Cardiac surgery, including coronary artery bypass graft surgery, is one of the most common procedures sought by medical tourists abroad. 50,52 Several Asian countries, including Thailand and India, are well-known medical tourism destinations for cardiac surgery, mainly due to lower costs. 53 However, a caveat revolves around the quality of care provided to travellers who have received cardiac surgery abroad, and prospective medical tourists should be aware of these quality concerns.…”

Section: Medical Tourismmentioning

confidence: 99%

Pre-travel Health Advice for Patients With Cardiovascular Disease

Liew

Flaherty

2019

Int J Travel Med Glob Health

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Cardiovascular disease (CVD) is the leading cause of death among international travellers. Practitioner knowledge of the effects of CVD on international travel is imperative in order to promote a healthy travel experience. This review aimed to explore the available literature on this topic. The PubMed database was accessed to source relevant literature using combinations of relevant keywords as search terms. Articles were restricted to those published in the English language through March 2019. Of 1726 article records retrieved, 73 relevant papers were examined carefully. The results of this narrative review are related to multiple aspects of CVD and travel. The pre-travel consultation should address issues regarding vaccinations, travel insurance, anticoagulation, and medical devices. Additional vaccines to be discussed include influenza, pneumococcal, and hepatitis B. Patients with CVD should be advised of the need to carry a copy of their ECG, prescription(s), and pacemaker manufacturer’s card. Knowledge of the location overseas of automated external defibrillators and awareness of health risks associated with strenuous adventure activities are important for CVD travellers. Medical tourism for patients with CVD is briefly considered. Space tourism is an emerging category of extreme international travel that requires specialized pre-travel preparation. This narrative review article highlights the gaps in the travel medicine literature in relation to CVD. A strong evidence base for most recommendations is lacking. Future scholarly efforts are warranted to facilitate more robust travel recommendations for CVD patients. No qualitative studies to date have described the experiences of international travellers with CVD.

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Surgical Tourism: The Role of Cardiothoracic Surgery Societies in Evaluating International Surgery Centers

Cited by 10 publications

References 30 publications

Postoperative Atrial Fibrillation: Evaluation of its Economic Impact on the Costs of Cardiac Surgery

Postoperative Atrial Fibrillation: Evaluation of its Economic Impact on the Costs of Cardiac Surgery

Cardiac surgery publications in Africa over the last 20 years: A literature review

Pre-travel Health Advice for Patients With Cardiovascular Disease

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