Cost Analysis of Initial Treatment With Endovascular Revascularization, Open Surgery, or Primary Major Amputation in Patients With Peripheral Artery Disease

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Linda TangRamon L Varcoe

Abstract

To compare the total initial treatment costs for open surgery, endovascular revascularization, and primary major amputation within a single-payer healthcare system. A multicenter, retrospective analysis was undertaken to evaluate 1138 patients with symptomatic peripheral artery disease (PAD) who underwent 1017 endovascular procedures, 86 open surgeries, and 35 major amputations between 2013 and 2016. A cost-mix analysis was performed on individual patient data generated for selected diagnosis-related groups. Mean costs are presented with the 95% confidence interval (CI). There was no intergroup difference in demographics or private health insurance status. However, the amputation group had a higher proportion of emergency procedures (68.6% vs 13.3% vs 27.9%, p<0.001) and critical limb ischemia (88.6% vs 35.9% vs 37.2%, p<0.001) compared with the endovascular therapy and open surgery groups, respectively. The endovascular revascularization group spent less time in hospital and used fewer intensive care unit (ICU) resources compared with the open surgery and major amputation groups (hospital length of stay: 3.4 vs 10.0 vs 20.2 days, p<0.01; ICU: 2.4 vs 22.6 vs 54.6 hours, p<0.01), respectively. While mean prosthetic and device co...Continue Reading

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Citations

Nov 13, 2018·The Journal of Cardiovascular Surgery·Ramon L Varcoe
Mar 23, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Rianne J VossenRon Balm
Feb 19, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Krystal DinhRamon L Varcoe
Jun 7, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·James H Black
Oct 11, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ramon L VarcoeAndrew F Lennox
Feb 17, 2021·Vascular and Endovascular Surgery·Nicole IlonzoRami Tadros
Jan 5, 2019·Journal of Vascular Surgery·Caitlin W HicksChristopher J Abularrage
Jul 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Christopher C StewartSaam Morshed
Sep 12, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Domenico R NastasiJonathan Golledge
Oct 15, 2021·European Radiology·Josua A DeckerChristian Scheurig-Muenkler
May 10, 2019·Journal of Vascular Surgery·Courtenay M HolscherCaitlin W Hicks

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Methods Mentioned

BETA
amputation
amputations

Software Mentioned

SAS

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