Document Detail

Cost-of-illness study of patients subjected to cardiac rhythm management devices implantation: results from a single tertiary centre.
MedLine Citation:
PMID:  23148117     Owner:  NLM     Status:  MEDLINE    
AIMS: The aim of the present study is to estimate the procedure (implantation) cost, the total hospitalization cost and annual follow-up cost, in patients subjected to pacemaker (PM) and implantable cardioverter-defibrillator (ICD) implantation.
METHODS AND RESULTS: A single-center, prospective, cost-of-illness study was conducted between August 2008 and July 2009. In total, 464 consecutive patients were recruited (370 were subjected to PM implantation and 94 to ICD implantation). Resource data were assessed at patients' enrolment in the study and at 6th and 12th months of patients' follow-up. Then, the procedure cost, the total hospitalization cost as well as the annual patients' follow up costs were calculated using a bottom-up approach. The mean (95% confidence interval) procedure cost of PM and ICD implantation (including the costs of devices, electrodes, other supplies, and personnel's time) was calculated to be €1803 (€1758-€1858) and €13,521 (€13,153-€13,892), respectively. The mean total hospitalization cost (including procedure cost, hospitalization cost, cost of laboratory and imaging diagnostic examinations and the indirect cost attributed to productivity lost due to patient's hospitalization) was €3926 (€3711-€4167) for PM and €17,764 (€16,852-€18,692) for ICD. The mean annual cost (direct and indirect) was €1816 (€1433-€2421) for PM and €2819 (€2115-€3703) for ICD. No difference was detected in the annual cost between patients with initial implantation and replacement.
CONCLUSION: These data revealed that although these devices are associated with a relatively high upfront cost, the annual societal cost following the implantation is low. Therefore, implantation of such devices should be encouraged since these devices reduce the morbidity and mortality without a high economic burden to society.
John Fanourgiakis; Emmanuel Simantirakis; Nikolaos Maniadakis; Georgia Kourlaba; Emmanuel Kanoupakis; Stavros Chrysostomakis; Panos Vardas
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Publication Detail:
Type:  Journal Article     Date:  2012-11-12
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  15     ISSN:  1532-2092     ISO Abbreviation:  Europace     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-22     Completed Date:  2013-08-12     Revised Date:  2013-12-11    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  366-75     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Ambulatory Care / economics
Arrhythmias, Cardiac / economics*,  therapy*
Cardiac Pacing, Artificial / economics*
Chi-Square Distribution
Continuity of Patient Care / economics
Cost Savings
Cost of Illness
Cost-Benefit Analysis
Defibrillators, Implantable / economics*
Diagnostic Imaging / economics
Drug Costs
Electric Countershock / economics*,  instrumentation
Hospital Costs*
Hospitals, University / economics
Middle Aged
Models, Economic
Pacemaker, Artificial / economics*
Prospective Studies
Tertiary Care Centers / economics*
Time Factors
Treatment Outcome
Comment In:
Europace. 2013 Nov;15(11):1538-9   [PMID:  23833047 ]
Europace. 2013 Mar;15(3):313-4   [PMID:  23243130 ]

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

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