Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada
Background. This paper presents unpublished clinical and economic data associated with open surgical repair (OSR) in low risk (LR) patients and how it compares with EVAR and OSR in high risk (HR) patients with an AAA > 5.5 cm. Design. Data from a 1-year prospective observational study was used to...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/308685 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558436393418752 |
|---|---|
| author | Jean-Eric Tarride Gord Blackhouse Guy De Rose James M. Bowen Hamid Reza Nakhai-Pour Daria O'Reilly Feng Xie Teresa Novick Robert Hopkins Ron Goeree |
| author_facet | Jean-Eric Tarride Gord Blackhouse Guy De Rose James M. Bowen Hamid Reza Nakhai-Pour Daria O'Reilly Feng Xie Teresa Novick Robert Hopkins Ron Goeree |
| author_sort | Jean-Eric Tarride |
| collection | DOAJ |
| description | Background. This paper presents unpublished clinical and economic data associated with open surgical repair (OSR) in low risk (LR) patients and how it compares with EVAR and OSR in high risk (HR) patients with an AAA > 5.5 cm. Design. Data from a 1-year prospective observational study was used to compare EVAR in HR patients versus OSR in HR and LR patients. Results. Between 2003 and 2005, 140 patients were treated with EVAR and 195 with OSR (HR: 52; LR: 143). The 1-year mortality rate with EVAR was statistically lower than HR OSR patients and comparable to LR OSR patients. One-year health-related quality of life was lower in the EVAR patients compared to OSR patients. EVAR was cost-effective compared to OSR HR but not when compared to OSR LR patients. Conclusions. Despite a similar clinical effectiveness, these results suggest that, at the current price, EVAR is more expensive than open repair for low risk patients. |
| format | Article |
| id | doaj-art-2b23f8962d68458caf645d9911613436 |
| institution | Kabale University |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-2b23f8962d68458caf645d99116134362025-02-03T01:32:22ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322011-01-01201110.1155/2011/308685308685Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, CanadaJean-Eric Tarride0Gord Blackhouse1Guy De Rose2James M. Bowen3Hamid Reza Nakhai-Pour4Daria O'Reilly5Feng Xie6Teresa Novick7Robert Hopkins8Ron Goeree9Programs for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 1H1, CanadaPrograms for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 1H1, CanadaDivision of Vascular Surgery, Department of Surgery, London Health Sciences Centre (LHSC), London, ON, CanadaPrograms for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 1H1, CanadaPrograms for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 1H1, CanadaPrograms for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 1H1, CanadaPrograms for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 1H1, CanadaDivision of Vascular Surgery, Department of Surgery, London Health Sciences Centre (LHSC), London, ON, CanadaPrograms for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 1H1, CanadaPrograms for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 1H1, CanadaBackground. This paper presents unpublished clinical and economic data associated with open surgical repair (OSR) in low risk (LR) patients and how it compares with EVAR and OSR in high risk (HR) patients with an AAA > 5.5 cm. Design. Data from a 1-year prospective observational study was used to compare EVAR in HR patients versus OSR in HR and LR patients. Results. Between 2003 and 2005, 140 patients were treated with EVAR and 195 with OSR (HR: 52; LR: 143). The 1-year mortality rate with EVAR was statistically lower than HR OSR patients and comparable to LR OSR patients. One-year health-related quality of life was lower in the EVAR patients compared to OSR patients. EVAR was cost-effective compared to OSR HR but not when compared to OSR LR patients. Conclusions. Despite a similar clinical effectiveness, these results suggest that, at the current price, EVAR is more expensive than open repair for low risk patients.http://dx.doi.org/10.1155/2011/308685 |
| spellingShingle | Jean-Eric Tarride Gord Blackhouse Guy De Rose James M. Bowen Hamid Reza Nakhai-Pour Daria O'Reilly Feng Xie Teresa Novick Robert Hopkins Ron Goeree Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada International Journal of Vascular Medicine |
| title | Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada |
| title_full | Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada |
| title_fullStr | Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada |
| title_full_unstemmed | Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada |
| title_short | Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada |
| title_sort | should endovascular repair be reimbursed for low risk abdominal aortic aneurysm patients evidence from ontario canada |
| url | http://dx.doi.org/10.1155/2011/308685 |
| work_keys_str_mv | AT jeanerictarride shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT gordblackhouse shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT guyderose shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT jamesmbowen shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT hamidrezanakhaipour shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT dariaoreilly shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT fengxie shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT teresanovick shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT roberthopkins shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada AT rongoeree shouldendovascularrepairbereimbursedforlowriskabdominalaorticaneurysmpatientsevidencefromontariocanada |