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The cost implications of off-pump versus on-pump coronary artery bypass graft surgery at one year

A. Lamy, W. Tong, PJ. Devereaux, P. Gao, A. Gafni, K. Singh, D. Taggart, Z. Straka, AR. Akar, L. Piegas, Y. Ou, S. Yusuf,

. 2014 ; 98 (5) : 1620-5.

Jazyk angličtina Země Nizozemsko

Typ dokumentu srovnávací studie, časopisecké články, multicentrická studie, randomizované kontrolované studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc15014047

BACKGROUND: The purpose of this study was to determine the cost implications of the Coronary Artery Bypass Graft Off or On Pump Revascularization Study (CORONARY) at 1 year. METHODS: Country-specific healthcare costs were obtained from public databases or local experts from each country in the CORONARY trial. Purchasing power parities were applied to these costs of consumed healthcare resources. Analyses of subgroups included in the CORONARY clinical trial were also conducted. Costs are reported in US dollars. RESULTS: After 1 year, the total cost per patient in the off-pump coronary artery bypass graft surgery (CABG) arm was $9,650 ($9,216 to $10,285) compared with $9,583 ($9,239 to $9,988) for the on-pump CABG arm; that resulted in a nonsignificant increase of $68 (-$575 to $710). Similar findings were noted for various subgroups. There were also no differences due to late conversions. CONCLUSIONS: The CORONARY trial demonstrated that off-pump CABG was clinically as safe and effective as on-pump CABG with no difference in costs. Thus, the decision as to which method to choose is free from costs considerations and should be based on patient preference and surgeon expertise (Coronary Artery Bypass Graft [CABG] Off or On Pump Revascularization Study [CORONARY]; clinicaltrials.gov NCT00463294).

Citace poskytuje Crossref.org

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$a BACKGROUND: The purpose of this study was to determine the cost implications of the Coronary Artery Bypass Graft Off or On Pump Revascularization Study (CORONARY) at 1 year. METHODS: Country-specific healthcare costs were obtained from public databases or local experts from each country in the CORONARY trial. Purchasing power parities were applied to these costs of consumed healthcare resources. Analyses of subgroups included in the CORONARY clinical trial were also conducted. Costs are reported in US dollars. RESULTS: After 1 year, the total cost per patient in the off-pump coronary artery bypass graft surgery (CABG) arm was $9,650 ($9,216 to $10,285) compared with $9,583 ($9,239 to $9,988) for the on-pump CABG arm; that resulted in a nonsignificant increase of $68 (-$575 to $710). Similar findings were noted for various subgroups. There were also no differences due to late conversions. CONCLUSIONS: The CORONARY trial demonstrated that off-pump CABG was clinically as safe and effective as on-pump CABG with no difference in costs. Thus, the decision as to which method to choose is free from costs considerations and should be based on patient preference and surgeon expertise (Coronary Artery Bypass Graft [CABG] Off or On Pump Revascularization Study [CORONARY]; clinicaltrials.gov NCT00463294).
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$a Tong, Wesley $u Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada; CADENCE Research Group, Hamilton Health Sciences, Hamilton, Ontario, Canada.
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$a Devereaux, P J $u Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada; Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
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$a Gao, Peggy $u Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
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$a Gafni, Amiram $u Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; Center for Health Economics and Policy Analysis, McMaster University, Hamilton, Ontario, Canada.
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$a Singh, Kavita $u All India Institute of Medical Sciences, New Delhi, India; Center for Chronic Disease Control, New Delhi, India.
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$a Taggart, David $u Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
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$a Straka, Zbyek $u Third Faculty of Medicine, Charles University, Prague, Czech Republic.
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$a Piegas, Leopoldo $u Unidade de Terapia Intensiva, Hospital do Coração, São Paulo, Brazil.
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$a Ou, Yongning $u Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
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$a Yusuf, Salim $u Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada; Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
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