Cost effectiveness analysis of out-patient and remote monitoring of patients after pacemaker replacement from the perspective of the health care payer

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F18%3A43916513" target="_blank" >RIV/00216208:11120/18:43916513 - isvavai.cz</a>

Result on the web

<a href="https://doi.org/10.1016/j.crvasa.2018.02.006" target="_blank" >https://doi.org/10.1016/j.crvasa.2018.02.006</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.crvasa.2018.02.006" target="_blank" >10.1016/j.crvasa.2018.02.006</a>

Result language

angličtina

Original language name

Cost effectiveness analysis of out-patient and remote monitoring of patients after pacemaker replacement from the perspective of the health care payer

Original language description

Objectives: To determine the cost effectiveness of remote vs. outpatient monitoring of patients with pacemaker after device replacement due to battery depletion. Background: Despite the fact that modern pacemakers can be checked remotely, most check-ups are still carried out during outpatient visits. So far, a cost effectiveness analysis of remote monitoring has not been performed in the Czech Republic. Patients, methods: A retrospective analysis was done using the files of 217 patients that had undergone pacemaker replacement between 2002 and 2005. All visits from 2002 to 2015 were analyzed. Using a pharmacoeconomic model, a cost minimization analysis was made to compare the costs of outpatient visits relative to remote monitoring of pacemakers, from the perspective of the health care payer. Results: The costs for the out-patient follow-up of the analyzed group of patients were calculated to be 802,709. CZK. Remote management for the same group would have cost 6,398,631. CZK. Cost minimization analysis showed that remote monitoring would have cost 5,595,922. CZK more than current standard care. Conclusion: Remote monitoring, is from the perspective of the health care payer, not associated with costs reduction in patients after pacemaker replacement due to battery depletion compared to standard out-patient follow-up.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Cor et Vasa

ISSN

0010-8650

e-ISSN

—

Volume of the periodical

60

Issue of the periodical within the volume

4

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

6

Pages from-to

"e387"-"e392"

UT code for WoS article

000442902500008

EID of the result in the Scopus database

2-s2.0-85043382722