Medicare costs for endovascular abdominal aortic aneurysm treatment in the Vascular Quality Initiative.

Journal of Vascular Surgery
Jesse A ColumboDavid H Stone

Abstract

Reintervention after endovascular repair (EVR) of abdominal aortic aneurysms is common. However, the cumulative financial impact of reintervention after EVR on a national scale is poorly defined. Our objective was to describe the cost to Medicare for aneurysm treatment (EVR plus reinterventions) among a cohort of patients with known follow-up for 5 years after repair. We identified patients who underwent EVR within the Vascular Quality Initiative who were linked to their respective Medicare claims file (n = 13,995). We excluded patients who underwent EVR after September 30, 2010, and those who had incomplete Medicare coverage (n = 12,788). The remaining cohort (n = 1207) had complete follow-up until death or 5 years (Medicare data available through September 30, 2015). We then obtained and compiled the corresponding Medicare reimbursement data for the index EVR hospitalization and all subsequent reinterventions. We studied 1207 Medicare patients who underwent EVR and had known follow-up for reinterventions for 5 years. The mean age was 76.2 years (±7.1 years), 21.6% of patients were female, and 91.1% of procedures were elective. The Kaplan-Meier reintervention rate at 5 years was 18%. Among patients who underwent reintervention...Continue Reading

References

Oct 19, 2007·PLoS Medicine·Jan P VandenbrouckeUNKNOWN STROBE Initiative
Nov 6, 2007·Journal of Vascular Surgery·Monique PrinssenUNKNOWN DREAM trial participants
Oct 22, 2013·Journal of Vascular Surgery·David H StoneRichard J Powell
May 4, 2015·Journal of Vascular Surgery·Courtney J WarnerDavid H Stone
Jul 23, 2015·The New England Journal of Medicine·Marc L SchermerhornBruce E Landon
Feb 27, 2016·Journal of Vascular Surgery·Cornelis A van BochoveWilliam K Redekop
Mar 8, 2016·Journal of Vascular Surgery·Bjoern SuckowBrian W Nolan
Sep 15, 2016·JAMA Surgery·Frank A LederleUNKNOWN Open vs Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group
Oct 28, 2016·Circulation·Adam W BeckUNKNOWN International Consortium of Vascular Registries
Jun 29, 2017·Vascular and Endovascular Surgery·Shaneel R PatelAlan Karthikesalingam
Jul 11, 2019·Annals of Surgery·Jesse A ColumboUNKNOWN Society for Vascular Surgery's Vascular Quality Initiative

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Citations

Apr 23, 2021·Journal of Vascular Surgery·Joel L RamirezJames C Iannuzzi

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