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 |
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container_issue | 4 |
container_start_page | 1671 |
container_title | The Journal of thoracic and cardiovascular surgery |
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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 |
format | Article |
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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. 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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.</description><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cardiac Surgical Procedures - economics</subject><subject>Cardiac Surgical Procedures - mortality</subject><subject>Clinical Decision-Making</subject><subject>Cost-Benefit Analysis</subject><subject>Decision Support Techniques</subject><subject>Health Care Costs</subject><subject>Heart Diseases - economics</subject><subject>Heart Diseases - mortality</subject><subject>Heart Diseases - surgery</subject><subject>Humans</subject><subject>Models, Economic</subject><subject>Outcome and Process Assessment, Health Care - economics</subject><subject>Postoperative Complications - economics</subject><subject>Postoperative Complications - mortality</subject><subject>Postoperative Complications - therapy</subject><subject>Treatment Outcome</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFvEzEQhS0EomnhFyAhH7ns4vF6d20kkKoISqVKXHqoerG89jh1tFkHexOUf49DSgWXnuYw770ZvY-Qd8BqYNB9XNfr2e5zzRn0NUDNQL4gC2CqrzrZ3r0kC8Y4r1rOmzNynvOaMdYzUK_JGVdNI2UrF-R-GfNcofdo57DHCXOmZjLjIYdMw0StSS4YS_MurTAdPtFLmnAf8BeNnoY5Uxsni9v56HJ0g_NDdHGMq4D5DXnlzZjx7eO8ILffvt4uv1c3P66ul5c3lRWtmqtBciuMg2HoOQgjoPF-QNM7EIMasGsla_kghR-cbK1ve7SdaRrnVWc5QnNBvpxit7thg87iNCcz6m0KG5MOOpqg_99M4UGv4l53QvVCdCXgw2NAij93mGe9CdniOJoJ4y5rUFK1CqRQRdqcpDbFnBP6pzPA9BGKXus_UPQRigbQBUpxvf_3wyfPXwpF8PkkwFJTKTfpbAOWXl1IhYt2MTx74DcbRqJ5</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Ferket, Bart S.</creator><creator>Oxman, Jonathan M.</creator><creator>Iribarne, Alexander</creator><creator>Gelijns, Annetine C.</creator><creator>Moskowitz, Alan J.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180401</creationdate><title>Cost-effectiveness analysis in cardiac surgery: A review of its concepts and methodologies</title><author>Ferket, Bart S. ; 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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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29338858</pmid><doi>10.1016/j.jtcvs.2017.11.018</doi><oa>free_for_read</oa></addata></record> |
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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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