E-32 | Budget Impact of Replacing Low Osmolar Iodinated Contract Media With Iso-Osmolar Contrast Medium in Intra-Arterial Procedures in Patients at Risk for Acute Kidney Injury
نویسندگان
چکیده
Recent studies have shown that patients at risk for acute kidney injury (AKI) an increased incidence of major adverse renal and cardiovascular events (MARCE) when undergoing intra-arterial procedures with low osmolar iodinated contrast media (LOCM) compared iso-osmolar medium (IOCM). This analysis estimates the cost offsets budget impact replacing LOCM IOCM in AKI following contrast-enhanced interventional in-patient hospital setting. Budget analyses took a US perspective over 1-year horizon. Costs per year current projected (CM) usage were based on variable market shares CM volume procedure estimated from up to 2021 real world usage. MARCE rates associated across five patient subgroups 1) diabetes, 2) heart failure, 3) chronic disease (CKD) stages 1 4, 4) CKD 3-4 5) diabetes taken DOI: 10.1159/000517884. ranged 7.5% 18.4% relative reductions 0.93 0.81. Two scenarios compared, Scenario A: (5.7% market) B: by 10%; remaining share reflected use. reflect public data. On basis, total expected costs use was $1,397, $2,361, $2,660, $2,788 $2,812 vs $1,425, $2,416, $2,919, $3,139 $3,387 LOCM, respectively, subgroup. By increasing utilization 10%, overall savings hospital, part driven length stay, $781 (0.2%), $895 $2,944 (0.9%), $2,360 (1.1%) $2,298 (1.7%), subgroup accounting higher lower MARCE. study shows that, procedures, using saves due reduced Absolute will underlying populations rate
منابع مشابه
Renal failure in 57 925 patients undergoing coronary procedures using iso-osmolar or low-osmolar contrast media.
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Effects of Intra-Arterial and Intravenous Iso-Osmolar Contrast Medium (Iodixanol) on the Risk of Contrast-Induced Acute Kidney Injury: A Meta-Analysis.
BACKGROUND: The iso-osmolar contrast agent iodixanol may be associated with a lower incidence of contrast-induced acute kidney injury (CI-AKI) than low-osmolar contrast media (LOCM), but previous meta-analyses have yielded mixed results. Objectives: To compare the incidence of CI-AKI between iodixanol and LOCM. METHODS: Studies were identified from literature searches to December 2009, clinica...
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Background: The iso-osmolar contrast agent iodixanol may be associated with a lower incidence of contrast-induced acute kidney injury (CI-AKI) than low-osmolar contrast media (LOCM), but previous meta-analyses have yielded mixed results. Objectives: To compare the incidence of CI-AKI between iodixanol and LOCM. Methods: Studies were identified from literature searches to December 2009, clinical...
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OBJECTIVE Pancreatitis is the most common and serious complication of endoscopic retrograde cholangiopancreatography (ERCP). Several studies have compared contrast media (CM) with different osmolalities, but the results are conflicting. We conducted this study to clarify the difference between 2 CM used in ERCP. METHODS Five hundred and seventy-six patients were examined by using ERCP in our ...
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ژورنال
عنوان ژورنال: Journal of the Society for Cardiovascular Angiography & Interventions
سال: 2023
ISSN: ['2772-9303']
DOI: https://doi.org/10.1016/j.jscai.2023.100942