Cost-effectiveness of endovascular therapy in the surgical management of cerebral arteriovenous malformations.
Cost-effectiveness of endovascular therapy in the surgical management of cerebral arteriovenous malformations.
复制标题
血管内治疗在脑动静脉畸形手术治疗中的成本效益。
DOI：
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复制
发表时间：
1996
期刊：
影响因子：
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通讯作者：
G. Steinberg
中科院分区：
文献类型：
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作者：
J. E. Jordan;M. Marks;B. Lane;G. Steinberg
目的
PURPOSE
To determine the economic effect of endovascular therapy in conjunction with surgery for cerebral arteriovenous malformations.
METHODS
Twenty-five patients with arteriovenous malformations treated with embolization and surgical excision or embolization alone were compared with reported results in 475 patients who underwent surgery only. Respective mean morbidity and mortality rates were calculated and a cost-effectiveness analysis was performed in terms of costs of hospitalization, professional fees, and other direct procedural and indirect costs. Quality-adjusted life-years saved were also calculated.
RESULTS
The net effective treatment cost per cure was $71 366 (in 1992 dollars) for embolization and surgery compared with $78 506 for surgery alone. This resulted in a 9% average savings per treated patient. Cost per quality-adjusted life-year calculations resulted in a cost of $6734 for embolization and surgery and $9814 for surgical treatment alone, with savings as high as 34% when endovascular therapy was used.
CONCLUSION
Endovascular therapy in conjunction with surgery resulted in significant economic benefits for treatment of cerebral arteriovenous malformations.