Clinical and economic outcomes of multivessel coronary stenting compared with bypass surgery: A single-center US experience

Reynolds, Matthew R.; Neil, Nancy; Ho, Kalon K.L.; Berezin, Ronna H.; Cosgrove, Roberta S.; Lager, Robert; Sirois, Cheryl; Johnson, Robert G.; Cohen, David J.

doi:10.1067/mhj.2003.38

Cited by 37 publications

(21 citation statements)

References 33 publications

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“…Dados recentes, incorporando os avanços tecnológicos no implante de stents e nas CRM, demonstraram que os custos da hospitalização inicial e aos dois anos após o tratamento de pacientes com doença coronária multiarterial com múltiplos stents convencionais versus CRM, foram mais vantajosos para o grupo dos stents (27% de redução) a despeito de uma taxa maior de nova revascularização neste grupo 17,18 .…”

Section: Discussionunclassified

Avaliação do custo do implante programado de múltiplos stents em mais de uma intervenção percutânea em pacientes com doença coronária multiarterial

Pedroso¹,

Meireles²,

Filho³

et al. 2007

Rev. Bras. Cardiol. Invasiva

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Background:The Brazilian Public Health System (SUS) establishes that coronary angioplasties with implantation of two stents must not exceed 20% of the total amount of angioplasties performed, resulting in the necessity of staged procedures in the majority of the patients with multivessel coronary disease. The objective of this study was to compare the costs of the staged stent implantation policy, imposed by SUS, with the stent implantation approach considered ideal by the interventional cardiology team, in patients with multivessel coronary disease. Methods: Costs were compared in a consecutive cohort of 100 patients with multivessel disease with indication of complete revascularization by percutaneous coronary intervention. Coronary angiographies had been previously evaluated by the interventional cardiology team that had individualized the approach considered ideal for the treatment of each patient. Procedures were then performed in accordance to SUS multistage policy and the costs of the two treatment strategies were compared. Of note, a single stent implantation procedure costs R$4,298.00 according to the SUS price list. Results: Mean age was 61.5±10.7 years, 66% were male, 43% diabetics and 67% had stable angina. Agreement in relation to the SUS staged procedures occurred in 44% and discordance in 56%. An excess of 58 procedures was detected, generating an additional cost of R$131,298.00. Conclusions: The multistaged approach imposed by SUS increases the number of procedures for coronary stent

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Section: Discussionunclassified

Avaliação do custo do implante programado de múltiplos stents em mais de uma intervenção percutânea em pacientes com doença coronária multiarterial

Pedroso¹,

Meireles²,

Filho³

et al. 2007

Rev. Bras. Cardiol. Invasiva

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“…Reynolds et al 13 conducted a retrospective study with multivessel coronary disease patients in which 100 underwent stenting and 200 underwent coronary artery bypass grafting. They compared the clinical and economic results over a two year follow-up.…”

Section: Resultsmentioning

confidence: 99%

Custos hospitalares da cirurgia de revascularização do miocárdio em pacientes coronarianos eletivos

Haddad

Bittar

Marchi

et al. 2007

Arq. Bras. Cardiol.

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SummaryObjective: To assess hospital costs associated with coronary artery bypass grafting performed on elective coronary patients, and the relation of costs with the number of grafts.Methods: Descriptive prospective study carried out at Instituto Dante Pazzanese de Cardiologia in April, May and June of 2005. Coronary patients of different ages and both genders were included. Emergency patients, patients with other associated heart conditions and reoperation cases were excluded. Appropriate forms for the operating room, early postoperative period and for the final period in the ward were developed for the initial hospitalization phase preoperatively.

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“…Cost analysis in these works demonstrated that the PTA procedure has a lower cost, both because of the hospital stay and because of the patient's evolution during the first year. In subsequent years there was a progressive reduction of the differences between the groups [12].…”

Section: Introductionmentioning

confidence: 98%

<![CDATA[<B>Myocardial revascularization</B>: <B>comparative cost study between conventional coronary bypass and percutaneous transluminal coronary angioplasty</B>]]>

Almeida¹

2005

Braz. j. cardiovasc. surg.

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Revascularização do miocárdio: estudo comparativo do custo da cirurgia convencional e da angioplastia transluminal percutâneaMyocardial revascularization: comparative cost study between conventional coronary bypass and percutaneous transluminal coronary angioplasty 143 ALMEIDA, RMS -Myocardial revascularization: comparative cost study between conventional coronary bypass and percutaneous transluminal coronary angioplasty Braz J Cardiovasc Surg 2005; 20(2): 142-148

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Clinical and economic outcomes of multivessel coronary stenting compared with bypass surgery: A single-center US experience

Cited by 37 publications

References 33 publications

Avaliação do custo do implante programado de múltiplos stents em mais de uma intervenção percutânea em pacientes com doença coronária multiarterial

Avaliação do custo do implante programado de múltiplos stents em mais de uma intervenção percutânea em pacientes com doença coronária multiarterial

Custos hospitalares da cirurgia de revascularização do miocárdio em pacientes coronarianos eletivos

<![CDATA[<B>Myocardial revascularization</B>: <B>comparative cost study between conventional coronary bypass and percutaneous transluminal coronary angioplasty</B>]]>

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