The Impact of First Procedure Success Rate on the Economics of Atrial Fibrillation Ablation

JACC. Clinical Electrophysiology
Moussa MansourSrijoy Mahapatra

Abstract

The purpose of this study was to compare health care costs associated with repeat ablation of atrial fibrillation (AF) with health care costs associated with a successful first procedure. Catheter ablation has become established as a rhythm control strategy for symptomatic paroxysmal and persistent AF. The economic impact of ablation is not completely understood, and it may be affected by repeat procedures performed for recurrent AF. The source of data was the MarketScan (Truven Health, Ann Arbor, Michigan) administrative claims dataset from April 2008 to March 2013, including U.S. patients with private and Medicare supplemental insurance. Patients who underwent an outpatient atrial ablation procedure and a diagnosis of AF were identified. Total health care cost was calculated for 1 year before and after the ablation. Patients were categorized as having undergone a repeat ablation if an additional ablation was performed in the following year. Of 12,027 patients included in the study, repeat ablation was performed in 2,066 (17.2%) within 1 year. Patients with repeat ablation had higher rates of emergency department visits (43.4% vs. 32.2%; < 0.001) and subsequent hospitalization (35.6% vs. 21.5%; p < 0.001), after excluding hosp...Continue Reading

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Citations

Sep 25, 2019·Journal of Cardiovascular Electrophysiology·Moussa MansourSrijoy Mahapatra
Apr 19, 2017·Journal of Cardiovascular Electrophysiology·Michelle SamuelLouise Pilote
May 10, 2017·Journal of Cardiovascular Electrophysiology·Jane Chen
Sep 11, 2019·Journal of Cardiovascular Electrophysiology·Robert D AndersonSaurabh Kumar
Oct 9, 2021·Current Opinion in Cardiology·Marcin KowalskiValay Parikh

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