Atrioventricular block cost-effectiveness of therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Edzel Lorraine Co, DMD, MD[2]
Overview
- Some patients who develop a high-degree atrioventricular blocks often require a placement of pacemakers.
- An evaluation of the cost-effectiveness of therapy is imperative to serve as a guide in decision-making.
Atrioventricular Block Cost-Effectiveness of Therapy
- High-degree atrioventricular blocks often need the placement of pacemakers.
- while this medical device provide a good and reliable therapy, its implantation is not without serious harmful implications.
- A watchful waiting is a good strategy over an earlier surgery for a more cost-effective outcome.
- Even if watchful waiting entails a higher cost ($171,798 ± $45,695 p<0.0001) than an earlier surgery ($165,436 ± $52,923, p<0.0001), it was shown that it has a higher utility (9.05 ± 1.36 vs. 8.55 ± 1.33 QALYs, p<0.0001).
- Watchful waiting is shown to have an accumulative cost-effectiveness ratio of $12,724 per quality-adjusted life year (QALY). [1]
References
- ↑ Beller JP, Tyerman Z, Mehaffey JH, Hawkins RB, Charles EJ, Yarboro LT; et al. (2021). "Early Versus Delayed Pacemaker for Heart Block After Valve Surgery: A Cost-Effectiveness Analysis". J Surg Res. 259: 154–162. doi:10.1016/j.jss.2020.11.038. PMC 7897291 Check
|pmc=value (help). PMID 33279841 Check|pmid=value (help).