Volume 4, Issue 2 (9-2021)
2021, 4(2): 0-0 |
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Ethics code: IR.MEDILAM.REC.1400.013
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nargesi S, DOLATSHAHI Z, MEZGINEZHAD F. Economic evaluation of endovascular versus open repair of ruptured abdominal aortic aneurysm: A systematic review. Journal title 2021; 4 (2)
URL: http://newresearch.medilam.ac.ir/article-1-1361-en.html
URL: http://newresearch.medilam.ac.ir/article-1-1361-en.html
Abstract: (1355 Views)
Abdominal aortic aneurysm is an abnormal localized increase in the size of the aorta caused by progressive weakening of the aortic wall. The abdominal aortic aneurysm typically refers to the abdominal aortic diameter greater than three centimeters. (1) Aortic aneurysms can spread to any part of the aortic length, but three-quarters of them are in the abdominal aorta.
The overall prevalence of abdominal aortic aneurysm in men ranged from 1.9% to 18.5% and in women from zero to 4.2%. (4,3) The prevalence of abdominal aortic aneurysm in men from four to six times More than women have been reported (5) and its incidence increases with age. (6) In Western countries, the prevalence of abdominal aortic aneurysms has been reported between 1.8-3.9% in men and 1-2.2% in women. (7) In Iran, the prevalence of abdominal aortic aneurysm in the population of 65-year-old men was 10% (8) and the frequency of abdominal aortic aneurysm in people with coronary artery disease was 14%. (9)
Rupture of the abdominal aortic aneurysm is the 13th leading cause of death in the United States and the 10th leading cause of death among older men (10:11) and the annual leading cause of death is 9000. (12) About 30,000-40,000 asymptomatic patients to prevent Ruptures undergo elective abdominal aortic aneurysm, where postoperative mortality will be between 2-8% (13, 14)
Cost analysis of endovascular efficacy compared to open surgery repair in the treatment of abdominal aortic aneurysm rupture can play an important role in informing decision makers about reimbursement of care costs, pricing of treatment interventions, providing cost-effective clinical guidelines on use These methods provide targeted interventions and the production of scientific evidence to make policy decisions and ultimately lead to cost management, efficiency and optimal allocation of limited financial resources of the health system in the field of cardiovascular disease economics. Given the burden of cardiovascular disease, limited financial resources in different countries and the share of their GDP in the health system, conduct more comprehensive studies to eliminate these differences in analysis due to limited health resources. And treatment and introduction of the dominant option in the field of economic evaluation based on studies conducted worldwide seems necessary, so the present study is a systematic review by comparing endovascular repair compared to open surgery and focusing on patients with Abdominal aortic aneurysm rupture and evaluated the survival rate, quality improvement and desirability in patients with the results of the study
The overall prevalence of abdominal aortic aneurysm in men ranged from 1.9% to 18.5% and in women from zero to 4.2%. (4,3) The prevalence of abdominal aortic aneurysm in men from four to six times More than women have been reported (5) and its incidence increases with age. (6) In Western countries, the prevalence of abdominal aortic aneurysms has been reported between 1.8-3.9% in men and 1-2.2% in women. (7) In Iran, the prevalence of abdominal aortic aneurysm in the population of 65-year-old men was 10% (8) and the frequency of abdominal aortic aneurysm in people with coronary artery disease was 14%. (9)
Rupture of the abdominal aortic aneurysm is the 13th leading cause of death in the United States and the 10th leading cause of death among older men (10:11) and the annual leading cause of death is 9000. (12) About 30,000-40,000 asymptomatic patients to prevent Ruptures undergo elective abdominal aortic aneurysm, where postoperative mortality will be between 2-8% (13, 14)
Cost analysis of endovascular efficacy compared to open surgery repair in the treatment of abdominal aortic aneurysm rupture can play an important role in informing decision makers about reimbursement of care costs, pricing of treatment interventions, providing cost-effective clinical guidelines on use These methods provide targeted interventions and the production of scientific evidence to make policy decisions and ultimately lead to cost management, efficiency and optimal allocation of limited financial resources of the health system in the field of cardiovascular disease economics. Given the burden of cardiovascular disease, limited financial resources in different countries and the share of their GDP in the health system, conduct more comprehensive studies to eliminate these differences in analysis due to limited health resources. And treatment and introduction of the dominant option in the field of economic evaluation based on studies conducted worldwide seems necessary, so the present study is a systematic review by comparing endovascular repair compared to open surgery and focusing on patients with Abdominal aortic aneurysm rupture and evaluated the survival rate, quality improvement and desirability in patients with the results of the study
Keywords: Economic evaluation, Abdominal aortic aneurysm, Endovascular repair, Open surgical repair, Systematic review
Received: 2021/02/2 | Accepted: 2021/09/1 | Published: 2021/09/1
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