Document Detail


Comparative analysis of hospital costs of open and endovascular thoracic aortic repair.
MedLine Citation:
PMID:  20829240     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Endovascular technologies represent major advancements in treating descending thoracic aortic aneurysms (DTAA). We compared hospital charges of open thoracic aortic replacement (OTAR) with endovascular repair of thoracic aortic aneurysms (TEVAR).
METHODS: Retrospective analysis of hospital charges related to repair of DTAA (2000-2009). Charges were inflation adjusted for dollars in 2009.
RESULTS: There were 50 OTAR and 50 TEVAR patients. Open thoracic aortic replacement charges were $64 531 (interquartile range [IQR]: 49 000-108 515) versus $61 909 (IQR: 41 307-92 109) for TEVAR(P = .4). A total of 10 patients (10%) died before discharge, with 0 TEVAR deaths (P < .05). For OTAR, supply charges ($9167) accounted for 13% of total charges versus 56% for TEVAR ($40 468), P < .01. Open thoracic aortic replacement length of stay (LOS) was 12 days (6 days intensive care unit [ICU] stay); bed charges comprised 40% of the total charges. Thoracic endovascular aneurysm repair had lower LOS (5days with 2 days ICU stay, P < .001).
CONCLUSIONS: Descending thoracic aortic aneurysm repair remains a formidable operation with significant resource utilization. Thoracic endovascular aneurysm repair does not significantly reduce overall hospital charges due to device costs but demonstrates improved mortality, ICU, and total LOS.
Authors:
George J Arnaoutakis; John A Hundt; Ashish S Shah; Duke E Cameron; James H Black
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-09-09
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  45     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-03     Completed Date:  2011-04-18     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-45     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Analysis of Variance
Aortic Aneurysm, Thoracic / economics,  mortality,  surgery*
Baltimore
Blood Vessel Prosthesis / economics
Blood Vessel Prosthesis Implantation / adverse effects,  economics*,  instrumentation,  mortality
Chi-Square Distribution
Endovascular Procedures / adverse effects,  economics*,  instrumentation,  mortality
Female
Hospital Costs*
Hospital Mortality
Humans
Intensive Care / economics
Kaplan-Meier Estimate
Length of Stay / economics
Linear Models
Male
Middle Aged
Outcome and Process Assessment (Health Care) / economics*
Proportional Hazards Models
Retrospective Studies
Stents / economics
Time Factors
Treatment Outcome
Grant Support
ID/Acronym/Agency:
T32 CA126607/CA/NCI NIH HHS; T32 CA126607-01A2/CA/NCI NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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