PMID: 9166267May 1, 1997Paper

Surgical treatment for chronic critical leg ischaemia: a 5 year follow-up of socioeconomic outcome

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
M Luther

Abstract

To evaluate the costs of amputation and arterial reconstruction for chronic critical leg ischaemia (CLI). A 5 year follow-up study of patients with primary intervention for CLI. One regional and two district hospitals serving a defined population. One hundred and seventeen consecutive patients undergoing reconstructive arterial surgery or amputation for CLI. Additional procedures, treatment resources and costs related to the treatment of CLI. Reconstruction patients needed frequent reinterventions due to graft problems, additional CLI symptoms and revisions of ischaemic tissue. The mean costs for a reconstruction were 240,000 FIM/patient and 70,000 FIM/survival year including costs for later amputations. Patients with a reconstruction without later amputation had costs of 175,000/ patient and 47,000/survival year. A reconstruction with a later amputation had the highest costs, 402,000/patient and 148,000/survival year. Contralateral leg ischaemia caused a new intervention in 25% of all patients. For non-institutionalised patients an amputation resulted in institutional treatment in over 20% of the remaining surviving days with a cost of 313,000 FIM/patient and 150,000 FIM/survival year. CLI in institutionalised patients with a ...Continue Reading

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Citations

Sep 13, 2014·Journal of Vascular Surgery·Jayer ChungR James Valentine
Sep 29, 2011·Journal of the American College of Surgeons·Neal R BarshesUNKNOWN MOVIE Study Collaborators
Mar 10, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R J Holdsworth, H M Paterson
May 16, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J PicquetB Enon
Jul 15, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C RandonF Vermassen
Jan 18, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Y JaccardI Baumgartner
Oct 5, 2010·Annals of Vascular Surgery·Maria SöderströmAnders Albäck
Jul 6, 2000·Journal of Vascular Surgery·C L WixonD M Ihnat
Mar 24, 2012·Prosthetics and Orthotics International·Robert Warner JordanDaniel Higman
May 14, 2010·The Cochrane Database of Systematic Reviews·Christopher P Twine, Alexander D McLain
Feb 13, 2018·The Cochrane Database of Systematic Reviews·Graeme K Ambler, Christopher P Twine
Apr 3, 2020·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·Iu I KazakovD V Zhuk
May 16, 2000·Journal of Wound Care·S Seppänen
May 14, 2021·The Journal of International Medical Research·Marius M Fodor, Lucian Fodor

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