A systematic review of cost-effectiveness of percutaneous coronary intervention vs. surgery for the treatment of multivessel coronary artery disease in the drug-eluting stent era

European Heart Journal. Quality of Care & Clinical Outcomes
Thathya V AriyaratneChristopher M Reid

Abstract

The suitability of percutaneous coronary intervention (PCI), compared with coronary artery bypass grafting (CABG), for patients with complex multivessel coronary artery disease (MVCAD) remains a contentious topic. While the body of evidence regarding the clinical effectiveness of these revascularization strategies is growing, there is limited evidence concerning their long-term cost-effectiveness. We aim to critically appraise the body of literature investigating the cost-effectiveness of CABG compared with PCI using stents, and to assess the quality of the economic evidence available. A systematic review was performed across six electronic databases; Medline, Embase, the NHS Economic Evaluation Database, the Database of Abstracts of Reviews of Effects, the health technology assessment database, and the Cochrane Library. All studies comparing economic attractiveness of CABG vs. PCI using bare-metal stents (BMS) or drug-eluting stents (DES) in balanced groups of patients were considered. Sixteen studies were included. These comprised studies of conventional CABG vs. BMS (n = 8), or DES (n = 4); off-pump CABG vs. BMS (n = 2), or DES (n = 1); and minimally invasive direct CABG vs. BMS (n = 2). The majority adopted a healthcare pay...Continue Reading

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Citations

Jun 23, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Shaneel ShahHunaid A Vohra
May 15, 2020·European Heart Journal. Quality of Care & Clinical Outcomes·Michelle SamuelJacques Lelorier
Nov 21, 2017·International Heart Journal·Satoshi KoderaIssei Komuro
May 24, 2019·Health and Quality of Life Outcomes·Andrea PerrottiSidney Chocron
May 11, 2016·Journal of Nursing Management·Marit Helen AndersenLisbeth Fagerström

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