The Cost Effectiveness of Implantable Cardioverter-Defibrillators

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The Cost Effectiveness of Implantable Cardioverter-Defibrillators

OBJECTIVES We sought to evaluate the cost implications of the implantable cardioverter-defibrillator (ICD), using utilization, cost, and survival data from the Multicenter Automatic Defibrillator Implantation Trial (MADIT)-II. BACKGROUND This trial showed that prophylactic implantation of a defibrillator reduces the rate of mortality in patients who experienced a previous myocardial infarction ...

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Cost-Effectiveness of Implantable Cardioverter–Defibrillators

From Duke Clinical Research Institute, Duke University, Durham, N.C. (G.D.S.); the Department of Health Research and Policy, School of Medicine (M.A.H.), and the Center for Primary Care and Outcomes Research, Department of Medicine (M.A.H., D.K.O.), Stanford University, Stanford, Calif.; and the Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif. (D.K.O.). Address reprint requests ...

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Cost-effectiveness of implantable cardioverter-defibrillators

Modelling A Markov model was constructed to simulate the clinical and economic outcomes associated with ICD and control therapy. The model served also to extrapolate short-term trial-based results to a lifetime horizon. The cycle length was one month. Patients who received an ICD were at risk of death from the implantation procedure. Patients who did not die from the procedure and patients assi...

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Cost-effectiveness of implantable cardioverter-defibrillators.

BACKGROUND Eight randomized trials have evaluated whether the prophylactic use of an implantable cardioverter-defibrillator (ICD) improves survival among patients who are at risk for sudden death due to left ventricular systolic dysfunction but who have not had a life-threatening ventricular arrhythmia. We assessed the cost-effectiveness of the ICD in the populations represented in these primar...

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Implantable transvenous cardioverter-defibrillators.

BACKGROUND Implantable transvenous cardioverter-defibrillators offer a significant opportunity to decrease procedural morbidity and medical costs in the care of patients with life-threatening ventricular arrhythmias who otherwise would have required a sternotomy or thoracotomy for device insertion. The purpose of this study was to examine prospectively the safety, efficacy, and limitations asso...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2006

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2006.03.032