Cost-effectiveness analysis in cardiac surgery: A review of its concepts and methodologies

Cost-effectiveness analysis (CEA) in cardiac surgery continues to grow in relevance with increasing health care expenditures, a greater emphasis on value-based care, the continuing development of costly surgical and noninvasive technologies, advances in cardiac devices, and changes in eligibility cr...

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Veröffentlicht in:The Journal of thoracic and cardiovascular surgery 2018-04, Vol.155 (4), p.1671-1681.e11
Hauptverfasser: Ferket, Bart S., Oxman, Jonathan M., Iribarne, Alexander, Gelijns, Annetine C., Moskowitz, Alan J.
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container_end_page 1681.e11
container_issue 4
container_start_page 1671
container_title The Journal of thoracic and cardiovascular surgery
container_volume 155
creator Ferket, Bart S.
Oxman, Jonathan M.
Iribarne, Alexander
Gelijns, Annetine C.
Moskowitz, Alan J.
description Cost-effectiveness analysis (CEA) in cardiac surgery continues to grow in relevance with increasing health care expenditures, a greater emphasis on value-based care, the continuing development of costly surgical and noninvasive technologies, advances in cardiac devices, and changes in eligibility criteria over the past two decades. Although the rapidly evolving surgical technologies pose challenges to CEA, improvements in gathering and leveraging long-term economic and clinical data alongside trials and in cardiac surgery registries represent future opportunities for the field. As such, it is important for cardiac surgeons to understand CEA with respect to existing and future surgical therapies. Herein, we review the fundamental principles of cost-effectiveness analysis theory and discuss recent cost-effectiveness studies on cardiac surgery.
doi_str_mv 10.1016/j.jtcvs.2017.11.018
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source MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals
subjects Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - economics
Cardiac Surgical Procedures - mortality
Clinical Decision-Making
Cost-Benefit Analysis
Decision Support Techniques
Health Care Costs
Heart Diseases - economics
Heart Diseases - mortality
Heart Diseases - surgery
Humans
Models, Economic
Outcome and Process Assessment, Health Care - economics
Postoperative Complications - economics
Postoperative Complications - mortality
Postoperative Complications - therapy
Treatment Outcome
title Cost-effectiveness analysis in cardiac surgery: A review of its concepts and methodologies
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