Acute abdominal aortic aneurysms: Cost analysis of endovascular repair and open surgery in hemodynamically stable patients with 1-year follow-up
Purpose: To retrospectively assess the in-hospital and 1-year follow-up costs of endovascular aneurysm repair and conventional open surgery in patients with acute infrarenal abdominal aortic aneurysm (AAA) by using a resource-use approach. Materials and Methods: Institutional Review Board approval was obtained, and informed consent was waived. In-hospital costs for all consecutive patients (61 men, six women; mean age, 72.0 years) who underwent endovascular repair (n = 32) or open surgery (n = 35) for acute infrarenal AAA from January 1, 2001, to December 31, 2004, were assessed by using a resource-use approach. Patients who did not undergo computed tomography before the procedure were excluded from analysis. One-year follow-up costs were complete for 30 patients who underwent endovascular repair and for 34 patients who underwent open surgery. Costs were assessed from a health care perspective. Mean costs were calculated for each treatment group and were compared by using the Mann-Whitney U test (α = .05). The influence of clinical variables on the total in-hospital cost was investigated by using univariate and multivariate analyses. Costs were expressed in euros for the year 2003. Results: Sex, age, and comorbidity did not differ between treatment groups (P > .05). The mean total in-hospital costs were lower for patients who underwent endovascular repair than for those who underwent open surgery (€20 767 vs €35 470, respectively; P = .004). The total costs, including those for 1-year follow-up, were €23 588 for patients who underwent endovascular repair and €36 448 for those who underwent open surgery (P = .05). The results of multivariate analysis indicated that complications had a significant influence on total in-hospital cost; patients who had complications incurred total in-hospital costs that were 2.27 times higher than those for patients who had no complications. Conclusion: Total in-hospital costs and total overall costs, which included 1-year follow-up costs, were lower in patients with acute AAA who underwent endovascular repair than in those who underwent open surgery.
|Persistent URL||dx.doi.org/10.1148/radiol.2403051005, hdl.handle.net/1765/54606|
Visser, J.J, van Sambeek, M.R.H.M, Hunink, M.G.M, Redekop, W.K, van Dijk, L.C, Hendriks, J.M, & Bosch, J.L.H.R. (2006). Acute abdominal aortic aneurysms: Cost analysis of endovascular repair and open surgery in hemodynamically stable patients with 1-year follow-up. Radiology, 240(3), 681–689. doi:10.1148/radiol.2403051005