TY - JOUR
T1 - Cost disparity between open repair and endovascular aneurysm repair for abdominal aortic aneurysm
T2 - A single-institute experience in Japan
AU - Morimae, Hirofumi
AU - Maekawa, Takashi
AU - Tamai, Hiroaki
AU - Takahashi, Noriko
AU - Ihara, Tsutomu
AU - Hori, Akihiko
AU - Narita, Hiroshi
AU - Banno, Hiroshi
AU - Kobayashi, Masayoshi
AU - Yamamoto, Kiyohito
AU - Komori, Kimihiro
PY - 2012/1
Y1 - 2012/1
N2 - Purpose: We conducted this study to compare the cost of open surgical repair (OR) with that of endovascular aneurysm repair (EVAR) of an abdominal aortic aneurysm (AAA). Methods: Between January 2007 and November 2008, 70 patients underwent open repair and 57 patients underwent EVAR. We evaluated the total cost, including that of the Diagnosis Procedure Combination (DPC), that of the surgical procedure, that of materials such as grafts and guide wires, and that of the anesthesia. Results: The mean costs for OR versus EVAR were as follows: DPC, ¥632370 versus ¥490050, respectively, which was significant; anesthesia, ¥123540 versus ¥86220, respectively (P < 0.05); and materials, ¥257770 versus ¥2113280, respectively (P < 0.05). Thus, the mean total cost was ¥1825830 versus ¥3159270 for open repair and EVAR, respectively (P < 0.05). Conclusions: New technologies should not only be clinically effective, but also cost effective. EVAR is less invasive clinically, but the cost of endovascular prostheses and other materials remains high.
AB - Purpose: We conducted this study to compare the cost of open surgical repair (OR) with that of endovascular aneurysm repair (EVAR) of an abdominal aortic aneurysm (AAA). Methods: Between January 2007 and November 2008, 70 patients underwent open repair and 57 patients underwent EVAR. We evaluated the total cost, including that of the Diagnosis Procedure Combination (DPC), that of the surgical procedure, that of materials such as grafts and guide wires, and that of the anesthesia. Results: The mean costs for OR versus EVAR were as follows: DPC, ¥632370 versus ¥490050, respectively, which was significant; anesthesia, ¥123540 versus ¥86220, respectively (P < 0.05); and materials, ¥257770 versus ¥2113280, respectively (P < 0.05). Thus, the mean total cost was ¥1825830 versus ¥3159270 for open repair and EVAR, respectively (P < 0.05). Conclusions: New technologies should not only be clinically effective, but also cost effective. EVAR is less invasive clinically, but the cost of endovascular prostheses and other materials remains high.
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U2 - 10.1007/s00595-011-0041-4
DO - 10.1007/s00595-011-0041-4
M3 - Article
C2 - 22072152
AN - SCOPUS:84857651540
SN - 0941-1291
VL - 42
SP - 121
EP - 126
JO - Surgery Today
JF - Surgery Today
IS - 2
ER -