Costs of unstructured investigation of unexplained syncope: insights from a micro-costing analysis of the observational PICTURE registry

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Nils EdvardssonNicholas J Linker

Abstract

The observational PICTURE (Place of Reveal In the Care pathway and Treatment of patients with Unexplained Recurrent Syncope) registry enrolled 570 patients with unexplained syncope, documented their care pathway and the various tests they underwent before the insertion of an implantable loop recorder (ILR). The aims were to describe the extent and cost of diagnostic tests performed before the implant. Actual costs of 17 predefined diagnostic tests were characterized based on a combination of data from PICTURE and a micro-costing study performed at a medium-sized UK university hospital in the UK. The median cost of diagnostic tests per patient was £1114 (95% CI £995-£1233). As many patients received more than the median number of tests, the mean expenditure per patient was higher with £1613 (95% CI £1494-£1732), and for 10% of the patients the cost exceeded £3539. Tests were frequently repeated, and early use of specific and expensive tests was common. In the 12% of patients with types of tests entirely within the recommendations for an initial evaluation before ILR implant, the mean cost was £710. Important opportunities to reduce test-related costs before an ILR implant were identified, e.g. by more appropriate use of tests re...Continue Reading

References

Nov 3, 2004·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michele BrignoleUNKNOWN Task Force on Syncope, European Society of Cardiology
Nov 30, 2005·European Heart Journal·David J FarwellNeil Sulke
Dec 20, 2007·QJM : Monthly Journal of the Association of Physicians·M KühneS Osswald
Mar 28, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Fabrizio AmmiratiMassimo Santini
Jun 17, 2008·Journal of Cardiovascular Electrophysiology·Dominic A M J TheunsLuc J Jordaens
Aug 29, 2009·European Heart Journal·UNKNOWN Task Force for the Diagnosis and Management of SyncopeWouter Wieling
Dec 2, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michele BrignoleUNKNOWN Syncope Unit Project (SUP) investigators
Oct 30, 2010·Pacing and Clinical Electrophysiology : PACE·Gangadhar MalasanaMohamed H Hamdan
Nov 26, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Nils EdvardssonUNKNOWN PICTURE Study Investigators
Nov 11, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Sarah DavisSanjiv Petkar
May 31, 2012·Future Cardiology·Richard Sutton, David Guay Benditt
Mar 12, 2013·Progress in Cardiovascular Diseases·Benjamin C Sun
Mar 12, 2013·Progress in Cardiovascular Diseases·Win K ShenWyatt W Decker
Nov 5, 2013·International Journal of Cardiology·Nicholas J LinkerUNKNOWN PICTURE Study Investigators
Aug 27, 2014·Expert Review of Medical Devices·Todd T Tomson, Rod Passman

❮ Previous
Next ❯

Citations

Aug 21, 2016·The Medical Clinics of North America·Steven Angus
Feb 13, 2016·European Journal of Preventive Cardiology·Jörg BurkowitzBernd Brüggenjürgen
Oct 26, 2018·Pacing and Clinical Electrophysiology : PACE·Deepak PadmanabhanSuraj Kapa
Mar 22, 2018·European Heart Journal·Michele BrignoleUNKNOWN ESC Scientific Document Group
May 4, 2018·Herzschrittmachertherapie & Elektrophysiologie·Andreas Schuchert
Feb 1, 2019·European Geriatric Medicine·Francisco J Lacunza-RuizUNKNOWN investigators of the Spanish Reveal Registry
Jan 28, 2021·Journal of Comparative Effectiveness Research·Christian PeringsKarin Rybak

❮ Previous
Next ❯

Software Mentioned

PICTURE
Reveal

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Nils EdvardssonPICTURE Study Investigators
Journal of the American Veterinary Medical Association
Roberto A SantilliManuela Perego
Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
Victor SanfinsJoão de Almeida
© 2022 Meta ULC. All rights reserved