Event Title

Health economics of coronary artery bypass grafts versus percutaneous coronary intervention for revascularization of 3 vessel coronary artery disease in a resource-poor country

Location

Auditorium Pond Side

Start Date

26-2-2014 10:30 AM

Abstract

Background: Estimates of Health care costs associated with revascularization range from 12 billion dollars to 20 billion dollars each year. Prior studies have revealed that the initial costs associated with Percutaneous Intervention procedure (PCI) are lesser compared to Coronary Artery bypass Graft (CABG) surgery. However, since PCI often requires subsequent revascularization, long-term costs for both these procedures are comparable. Most of these conclusions are based on western studies and thus used with caution in developing countries. This study aims to estimate cost and early outcomes of both these procedures in tertiary care hospital settings in Pakistan.

Methods: This is a retrospective study, based on hospital record being reviewed at the Aga Khan University Hospital for evaluation of healthcare costs for both these procedures and their relative cost effectiveness in terms of early outcomes. The study population includes all patients who have undergone CABG surgery or PCI revascularization from January 2011 to December 2013.

Findings: Initial findings from the costs incurred at the hospital reveal cost of Coronary artery bypass graft surgery (CABG), single Drug eluting stent (PCI) and single bare metal stent (PCI) as PKR 298,000 PKR 425,000 PKR 325,000 respectively. The costs associated with PCI for revascularization in multi-vessel Coronary artery disease are almost threefold the original price of one single stent. While this is only the direct healthcare cost and not the complete cost estimate for both these procedures, these findings strongly suggest that CABG is far more economical than PCI in local settings.

Conclusion: The results of this study would contribute to cost effective management of cardiovascular diseases in Pakistan at tertiary care level hospital settings. In developing countries such evidence is particularly important from the patient and family perspective. In the back drop of the fact that out-of-pocket health expenditure is over 60% of total health expenditure in Pakistan it likely that most of the financial burden of management of DVD is borne by the patient and his family.

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Feb 26th, 10:30 AM

Health economics of coronary artery bypass grafts versus percutaneous coronary intervention for revascularization of 3 vessel coronary artery disease in a resource-poor country

Auditorium Pond Side

Background: Estimates of Health care costs associated with revascularization range from 12 billion dollars to 20 billion dollars each year. Prior studies have revealed that the initial costs associated with Percutaneous Intervention procedure (PCI) are lesser compared to Coronary Artery bypass Graft (CABG) surgery. However, since PCI often requires subsequent revascularization, long-term costs for both these procedures are comparable. Most of these conclusions are based on western studies and thus used with caution in developing countries. This study aims to estimate cost and early outcomes of both these procedures in tertiary care hospital settings in Pakistan.

Methods: This is a retrospective study, based on hospital record being reviewed at the Aga Khan University Hospital for evaluation of healthcare costs for both these procedures and their relative cost effectiveness in terms of early outcomes. The study population includes all patients who have undergone CABG surgery or PCI revascularization from January 2011 to December 2013.

Findings: Initial findings from the costs incurred at the hospital reveal cost of Coronary artery bypass graft surgery (CABG), single Drug eluting stent (PCI) and single bare metal stent (PCI) as PKR 298,000 PKR 425,000 PKR 325,000 respectively. The costs associated with PCI for revascularization in multi-vessel Coronary artery disease are almost threefold the original price of one single stent. While this is only the direct healthcare cost and not the complete cost estimate for both these procedures, these findings strongly suggest that CABG is far more economical than PCI in local settings.

Conclusion: The results of this study would contribute to cost effective management of cardiovascular diseases in Pakistan at tertiary care level hospital settings. In developing countries such evidence is particularly important from the patient and family perspective. In the back drop of the fact that out-of-pocket health expenditure is over 60% of total health expenditure in Pakistan it likely that most of the financial burden of management of DVD is borne by the patient and his family.