|Cost-of-illness study of patients subjected to cardiac rhythm management devices implantation: results from a single tertiary centre.|
|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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|Type: Journal Article Date: 2012-11-12|
|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|
|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|
|Languages: eng Pagination: 366-75 Citation Subset: IM|
|APA/MLA Format Download EndNote Download BibTex|
Aged, 80 and over
Ambulatory Care / economics
Arrhythmias, Cardiac / economics*, therapy*
Cardiac Pacing, Artificial / economics*
Continuity of Patient Care / economics
Cost of Illness
Defibrillators, Implantable / economics*
Diagnostic Imaging / economics
Electric Countershock / economics*, instrumentation
Hospitals, University / economics
Pacemaker, Artificial / economics*
Tertiary Care Centers / economics*
Europace. 2013 Nov;15(11):1538-9
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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