{"id":7392,"date":"2011-04-03T14:56:19","date_gmt":"2011-04-03T18:56:19","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=7392"},"modified":"2011-07-19T17:44:29","modified_gmt":"2011-07-19T21:44:29","slug":"partner-b-substudy-examines-cost-effectiveness-of-tavr","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/04\/03\/partner-b-substudy-examines-cost-effectiveness-of-tavr\/","title":{"rendered":"PARTNER B Substudy Examines Cost-Effectiveness of TAVI"},"content":{"rendered":"<p>Transcatheter aortic valve implantation (TAVI) is about as cost-effective as other common cardiovascular procedures, according to  results of the PARTNER B cost-effectiveness substudy, which were  presented today at the American College of Cardiology meeting in New  Orleans. (The <a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1008232\">main   results of PARTNER B<\/a>, which studied the safety and efficacy of TAVI  in patients with severe aortic stenosis who were not candidates for  surgical treatment, were presented and published last year.)<\/p>\n<p>Matthew Reynolds reported that the admission cost of TAVI,\u00a0 including  both hospital and physician fees, as well as an estimated $30,000 cost  for the device, was $78,000. In the following 12 months, patients in the  control group were twice as likely to be hospitalized than those in the TAVI group; the number of hospital days was 20 for control patients compared to 9 for TAVI patients. The followup costs at 1  year were $29,352 in the TAVI group compared to $52,724 in the control  group.<\/p>\n<p>The investigators projected the life expectancy of patients in TAVI  as 3.11 years and the control group as 1.23 years. They then calculated  the cost effectiveness of TAVI versus control as $50,000 per life year.  However, when they calculated the quality-adjusted life years the  incremental cost of TAVI was $79,837.<\/p>\n<p>In his summary, Reynolds said that the &#8220;overall 1-year costs remained  substantially higher with [TAVI].&#8221; Reynolds said that the  cost-effectiveness of TAVI was better than dialysis and comparable to AF  ablation and dabigatran.<\/p>\n<p>He concluded: &#8220;For patients with severe aortic stenosis who are  unsuitable for surgical valve replacement, [TAVI] significantly increases life  expectancy at an incremental cost per life year gained that is well within  accepted values for commonly used cardiovascular technologies.&#8221;<\/p>\n<p><em>For more of our ACC.11 coverage of late-breaking clinical trials,  interviews with the authors of the most important research, and blogs  from our fellows on the most interesting presentations at the meeting,  check out our <a href=\"..\/acc-11-cardioexchange-coverage-roundup\/\">Coverage Roundup<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Transcatheter aortic valve implantation (TAVI) is about as cost-effective as other common cardiovascular procedures, according to results of the PARTNER B cost-effectiveness substudy, which were presented today at the American College of Cardiology meeting in New Orleans. (The main results of PARTNER B, which studied the safety and efficacy of TAVI in patients with severe [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,9],"tags":[775,516,770],"class_list":["post-7392","post","type-post","status-publish","format-standard","hentry","category-cardiac-surgery","category-interventional-cardiology","tag-aortic-repair","tag-cost-effectiveness","tag-tavr"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/7392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=7392"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/7392\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=7392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=7392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=7392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}