IDEAS home Printed from https://ideas.repec.org/p/gra/fegper/01-22.html
   My bibliography  Save this paper

Cost-effectiveness analysis of repairs of complex abdominal aortic aneurysms: a systematic review

Author

Listed:
  • Modou Diop

    (University of Granada, Spain. Department of Applied Economics)

  • David M. Epstein

    (University of Granada, Spain. Department of Applied Economics)

Abstract

Background: Complex abdominal aortic aneurysms, cAAA, include juxta-renal, JRAAA, and thoraco-abdominal, TAAA. Interventions to repair these conditions are associated with high costs and possible clinical complications such as spinal cord injury (SCI) or paraplegia. Objectives: The aim was to estimate the costs and health resources used, along with measures of effectiveness and complications associated with these interventions. Methods: A systematic search was conducted for economic evaluations or cost-effectiveness studies in the bases of Medline, Embase, Scopus and the Centre for Reviews and Dissemination. Currencies were converted into euros at 2018 purchasing power parities. Results: This study has reviewed the literature on the cost-effectiveness of surgical treatments for cAAA. The 4 included studies were heterogenous in populations, treatments and how costs were reported. The 30-day cost of JRAAA or infradiaphragmatic TAAA with endovascular intervention, EI, is in the range 27,000€ to 38,000€. More challenging supradiaphragmatic TAAA endovascular procedures cost more, about 55,000€, and the most complex EI for Crawford Type II and III TAAA cost about 125,000$ (89125€) over 1 year. Open surgical intervention, SI, may cost less than EI in JRAAA or infradiaphragmatic TAAA but there does not appear to be a difference in more complex conditions. Discussion: SCI is rare but may occur in up to 20% of complex TAAA. The average cost was estimated as $463,116 (330,000€) for the first year and $61,550 (44,000€) thereafter. However, the US health and social care system may not represent the situation in Europe. Further cost effectiveness studies are needed in cAAA and TAAA. They should ensure that the population, interventions and outcomes are accurately defined, outcomes are reported according to recognised guidelines, include complications and SCI as relevant, and are conducted over a sufficient time horizon to capture the long term sequella.

Suggested Citation

  • Modou Diop & David M. Epstein, 2022. "Cost-effectiveness analysis of repairs of complex abdominal aortic aneurysms: a systematic review," FEG Working Paper Series 01/22, Faculty of Economics and Business (University of Granada).
    • Handle: RePEc:gra:fegper:01/22
    as

    Download full text from publisher

    File URL: http://www.ugr.es/~teoriahe/RePEc/gra/fegper/FEGWP0122.pdf
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gra:fegper:01/22. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Juliette Milgram Baleix. (email available below). General contact details of provider: https://edirc.repec.org/data/dtugres.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.