| Comparative analysis of hospital costs of open and endovascular thoracic aortic repair. | |
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MedLine Citation:
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PMID: 20829240 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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George J Arnaoutakis; John A Hundt; Ashish S Shah; Duke E Cameron; James H Black |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-09-09 |
Journal Detail:
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Title: Vascular and endovascular surgery Volume: 45 ISSN: 1938-9116 ISO Abbreviation: Vasc Endovascular Surg Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-03 Completed Date: 2011-04-18 Revised Date: 2011-08-01 |
Medline Journal Info:
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Nlm Unique ID: 101136421 Medline TA: Vasc Endovascular Surg Country: United States |
Other Details:
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Languages: eng Pagination: 39-45 Citation Subset: IM |
Affiliation:
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Division of Vascular and Endovascular Surgery, John Hopkins Hospital, Baltimore, MD, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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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