The comparison of the clinical outcomes and costs between surgical aortic valve replacement and transcatheter aortic valve implantation based on the Japanese Diagnosis Procedure Combination database

Purpose We evaluated the clinical outcomes and costs of surgical aortic valve replacement (SAVR) and transfemoral transcatheter aortic valve implantation (TAVI) for aortic stenosis using the Japanese Diagnosis Procedure Combination (DPC) database. Methods Using our extraction protocol, we retrospect...

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Veröffentlicht in:	Surgery today (Tokyo, Japan) Japan), 2024-03, Vol.54 (3), p.240-246
Hauptverfasser:	Yunoki, Junji, Morita, Shigeki, Hayashi, Nagi, Jinnouchi, Kouki, Morokuma, Hiroyuki, Itoh, Manabu, Kamohara, Keiji
Format:	Artikel
Sprache:	eng
Schlagworte:	Aortic Valve - surgery Aortic Valve Stenosis - surgery Heart Valve Prosthesis Implantation - methods Humans Japan Medicine Medicine & Public Health Original Article Retrospective Studies Risk Factors Surgery Surgical Oncology Transcatheter Aortic Valve Replacement - methods Treatment Outcome
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Zusammenfassung:	Purpose We evaluated the clinical outcomes and costs of surgical aortic valve replacement (SAVR) and transfemoral transcatheter aortic valve implantation (TAVI) for aortic stenosis using the Japanese Diagnosis Procedure Combination (DPC) database. Methods Using our extraction protocol, we retrospectively analyzed summary tables in the DPC database from 2016 to 2019, which were provided by the Ministry of Health, Labor and Welfare. A total of 27,278 patients were available (SAVR, n = 12,534; TAVI, n = 14,744). Results The TAVI group was older than the SAVR group (SAVR vs. TAVI: 74.6 vs. 84.5 years; P
ISSN:	0941-1291 1436-2813
DOI:	10.1007/s00595-023-02722-9