Cost-effectiveness of percutaneous coronary intervention versus bypass surgery from a Dutch perspective

  title={Cost-effectiveness of percutaneous coronary intervention versus bypass surgery from a Dutch perspective},
  author={Ruben L. J. Osnabrugge and Elizabeth A. Magnuson and Patrick Wjc Serruys and Carlos M Campos and Kaijun Wang and David van Klaveren and Vasim Farooq and Mouin S. Abdallah and Haiyan Li and Katherine A. Vilain and Ewout Willem Steyerberg and Marie-claude Morice and Keith D. Dawkins and Friedrich W. Mohr and Arie Pieter Kappetein and David Joel Cohen},
  pages={1980 - 1988}
Aims Recent cost-effectiveness analyses of percutaneous coronary intervention (PCI) versus coronary artery bypass grafting (CABG) have been limited by a short time horizon or were restricted to the US healthcare perspective. We, therefore, used individual patient-level data from the SYNTAX trial to evaluate the cost-effectiveness of PCI versus CABG from a European (Dutch) perspective. Methods and results Between 2005 and 2007, 1800 patients with three-vessel or left main coronary artery disease… 
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Economic outcomes of percutaneous coronary intervention with drug‐eluting stents versus bypass surgery for patients with left main or three‐vessel coronary artery disease: One‐year results from the SYNTAX trial
  • D. Cohen, T. Lavelle, A. Kappetein
  • Medicine, Political Science
    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
  • 2012
Among patients with three‐vessel or left main CAD, PCI is an economically attractive strategy over the first year for patients with low and moderate angiographic complexity, while CABG is favored among patients with high angiography complexity.
A randomized trial comparing coronary angioplasty with coronary bypass surgery. Emory Angioplasty versus Surgery Trial (EAST)
It was found that CABG and PTCA did not differ significantly with respect to the occurrence of the composite primary end point, and the selection of one procedure over the other should be guided by patients' preferences regarding the quality of life and the possible need for subsequent procedures.
Multivessel coronary artery disease: quantifying how recent trials should influence clinical practice
Economic considerations will increasingly be included in decision-making, since the economic impact of ischemic heart disease is high and the growth of healthcare expenditure is unsustainable, and CABG is associated with higher upfront costs, but is economically attractive at long-term follow-up.
Strategies for multivessel revascularization in patients with diabetes.
For patients with diabetes and advanced coronary artery disease, CABG was superior to PCI in that it significantly reduced rates of death and myocardial infarction, with a higher rate of stroke.
Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease.
It is found that in selected patients with multivessel disease suitable for treatment with either procedure, an initial strategy of PTCA does not result in a poorer five-year clinical outcome than CABG, although subsequent revascularization was required more often with this strategy.
Medical care costs and quality of life after randomization to coronary angioplasty or coronary bypass surgery. Bypass Angioplasty Revascularization Investigation (BARI) Investigators.
In patients with multivessel coronary disease, coronary-artery bypass surgery is associated with a better quality of life for three years than coronary angioplasty, after the initial morbidity caused by the procedure.
Cost-effectiveness of percutaneous coronary intervention with drug-eluting stents in patients with multivessel coronary artery disease compared to coronary artery bypass surgery five-years after intervention
  • L. Krenn, C. Kopp, M. Gyöngyösi
  • Medicine
    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
  • 2014
Cost‐effectiveness of percutaneous coronary intervention (PCI) using drug‐eluting stents (DES), and coronary artery bypass surgery (CABG) was analyzed in patients with multivessel coronary artery