The economic value of rapid deployment aortic valve replacement via full sternotomy

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Author
Moore, Matt; Barnhart, Glenn R.; Chitwood, W. Randolph; Rizzo, John A.; Gunnarsson, Candace; Palli, Swetha R.; Grossi, Eugene A.
Abstract
Aim: To compare the economic value of EDWARDS INTUITY EliteTM (EIE) valve system for rapid-deployment aortic valve replacement (RDAVR) in a full sternotomy (FS) approach (EIE-FS-RDAVR) versus FS-AVR using conventional stented bioprosthesis. Data & methods: A simulation model to compare each treatment’s 30-day inpatient utilization and complication rates utilized: clinical end points obtained from the TRANSFORM trial patient subset (EIE-FS-RDAVR) and a best evidence review of the published literature (FS-AVR); and costs from the Premier database and published literature. Results: EIE-FS-RDAVR costs $800 less than FS-AVR per surgery episode attributable to lowered complication rates and utilization. Combined with the lower mortality, EIE-FS-RDAVR was a superior (dominant) technology versus FS-AVR. Conclusion: This preliminary investigation of EIE-FS-RDAVR versus conventional FS- AVR found the EIE valve offered superior economic value over a 30-day period. Real- world analyses with additional long-term follow-up are needed to evaluate if this result can be replicated over a longer timeframe.
URI
http://hdl.handle.net/10342/8435
Date
2017-04-04
Citation:
APA:
Moore, Matt, & Barnhart, Glenn R., & Chitwood, W. Randolph, & Rizzo, John A., & Gunnarsson, Candace, & Palli, Swetha R., & Grossi, Eugene A.. (April 2017). The economic value of rapid deployment aortic valve replacement via full sternotomy. , (), - . Retrieved from http://hdl.handle.net/10342/8435

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MLA:
Moore, Matt, and Barnhart, Glenn R., and Chitwood, W. Randolph, and Rizzo, John A., and Gunnarsson, Candace, and Palli, Swetha R., and Grossi, Eugene A.. "The economic value of rapid deployment aortic valve replacement via full sternotomy". . . (), April 2017. December 11, 2023. http://hdl.handle.net/10342/8435.
Chicago:
Moore, Matt and Barnhart, Glenn R. and Chitwood, W. Randolph and Rizzo, John A. and Gunnarsson, Candace and Palli, Swetha R. and Grossi, Eugene A., "The economic value of rapid deployment aortic valve replacement via full sternotomy," , no. (April 2017), http://hdl.handle.net/10342/8435 (accessed December 11, 2023).
AMA:
Moore, Matt, Barnhart, Glenn R., Chitwood, W. Randolph, Rizzo, John A., Gunnarsson, Candace, Palli, Swetha R., Grossi, Eugene A.. The economic value of rapid deployment aortic valve replacement via full sternotomy. . April 2017; (): . http://hdl.handle.net/10342/8435. Accessed December 11, 2023.
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