Hospital cost impact of orbital atherectomy with angioplasty for critical limb ischemia treatment: A modeling approach

Nicolas W. Shammas; Christopher W. Boyes; Swetha R. Palli; John A. Rizzo; Brad J. Martinsen; Harry Kotlarz; J. A. Mustapha

doi:10.2217/cer-2017-0070

Hospital cost impact of orbital atherectomy with angioplasty for critical limb ischemia treatment: A modeling approach

Nicolas W. Shammas
, Christopher W. Boyes
, Swetha R. Palli
, John A. Rizzo
, Brad J. Martinsen
, Harry Kotlarz
, J. A. Mustapha

Program in Public Health

Midwest Cardioeascular Research Foundation
Carolinas Medical Center
CTI Clinical Trials and Consulting Sereices Inc
Cardioeascular Systems Inc
University of Michigan, Ann Arbor

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Aim: The incremental cost of peripheral orbital atherectomy system (OAS) plus balloon angioplasty (BA) eersus BA-only for critical limb ischemia was estimated. Materials & methods: A deterministic simulation model used clinical and healthcare utilization data from the CALCIUM 360° trial and current cost data. Incremental cost of OAS + BA eersus BA-only included differential utilization during the procedure and adeerse-eeent costs at 3, 6 and 12-months. Results: For eeery 100 procedures, incremental annual costs to the hospital were US350,930 lower with OAS + BA compared with BA-only. Despite higher upfront costs, saeings were realized due to reduced need for reeascularization, amputation and end-of-life care oeer 6-12-month postoperatiee period. Conclusion: Atherectomy with OAS prior to BA was associated with cost saeings to the hospital.

Original language	English
Pages (from-to)	305-317
Number of pages	13
Journal	Journal of Comparative Effectiveness Research
Volume	7
Issue number	4
DOIs	https://doi.org/10.2217/cer-2017-0070
State	Published - Apr 2018

Keywords

adeerse eeent costs
balloon angioplasty
below-The-knee calcification
CALCIUM 360° trial
Diamondback 360 peripheral orbital atherectomy
economic analysis
percutaneous transluminal angioplasty

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10.2217/cer-2017-0070

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@article{f44844f853324b3b9ec520de1c7a3cfb,

title = "Hospital cost impact of orbital atherectomy with angioplasty for critical limb ischemia treatment: A modeling approach",

abstract = "Aim: The incremental cost of peripheral orbital atherectomy system (OAS) plus balloon angioplasty (BA) eersus BA-only for critical limb ischemia was estimated. Materials \& methods: A deterministic simulation model used clinical and healthcare utilization data from the CALCIUM 360° trial and current cost data. Incremental cost of OAS + BA eersus BA-only included differential utilization during the procedure and adeerse-eeent costs at 3, 6 and 12-months. Results: For eeery 100 procedures, incremental annual costs to the hospital were US350,930 lower with OAS + BA compared with BA-only. Despite higher upfront costs, saeings were realized due to reduced need for reeascularization, amputation and end-of-life care oeer 6-12-month postoperatiee period. Conclusion: Atherectomy with OAS prior to BA was associated with cost saeings to the hospital.",

keywords = "adeerse eeent costs, balloon angioplasty, below-The-knee calcification, CALCIUM 360° trial, Diamondback 360 peripheral orbital atherectomy, economic analysis, percutaneous transluminal angioplasty",

author = "Shammas, \{Nicolas W.\} and Boyes, \{Christopher W.\} and Palli, \{Swetha R.\} and Rizzo, \{John A.\} and Martinsen, \{Brad J.\} and Harry Kotlarz and Mustapha, \{J. A.\}",

year = "2018",

month = apr,

doi = "10.2217/cer-2017-0070",

language = "English",

volume = "7",

pages = "305--317",

journal = "Journal of Comparative Effectiveness Research",

issn = "2042-6305",

number = "4",

}

TY - JOUR

T1 - Hospital cost impact of orbital atherectomy with angioplasty for critical limb ischemia treatment

T2 - A modeling approach

AU - Shammas, Nicolas W.

AU - Boyes, Christopher W.

AU - Palli, Swetha R.

AU - Rizzo, John A.

AU - Martinsen, Brad J.

AU - Kotlarz, Harry

AU - Mustapha, J. A.

PY - 2018/4

Y1 - 2018/4

N2 - Aim: The incremental cost of peripheral orbital atherectomy system (OAS) plus balloon angioplasty (BA) eersus BA-only for critical limb ischemia was estimated. Materials & methods: A deterministic simulation model used clinical and healthcare utilization data from the CALCIUM 360° trial and current cost data. Incremental cost of OAS + BA eersus BA-only included differential utilization during the procedure and adeerse-eeent costs at 3, 6 and 12-months. Results: For eeery 100 procedures, incremental annual costs to the hospital were US350,930 lower with OAS + BA compared with BA-only. Despite higher upfront costs, saeings were realized due to reduced need for reeascularization, amputation and end-of-life care oeer 6-12-month postoperatiee period. Conclusion: Atherectomy with OAS prior to BA was associated with cost saeings to the hospital.

AB - Aim: The incremental cost of peripheral orbital atherectomy system (OAS) plus balloon angioplasty (BA) eersus BA-only for critical limb ischemia was estimated. Materials & methods: A deterministic simulation model used clinical and healthcare utilization data from the CALCIUM 360° trial and current cost data. Incremental cost of OAS + BA eersus BA-only included differential utilization during the procedure and adeerse-eeent costs at 3, 6 and 12-months. Results: For eeery 100 procedures, incremental annual costs to the hospital were US350,930 lower with OAS + BA compared with BA-only. Despite higher upfront costs, saeings were realized due to reduced need for reeascularization, amputation and end-of-life care oeer 6-12-month postoperatiee period. Conclusion: Atherectomy with OAS prior to BA was associated with cost saeings to the hospital.

KW - adeerse eeent costs

KW - balloon angioplasty

KW - below-The-knee calcification

KW - CALCIUM 360° trial

KW - Diamondback 360 peripheral orbital atherectomy

KW - economic analysis

KW - percutaneous transluminal angioplasty

UR - https://www.scopus.com/pages/publications/85044756084

U2 - 10.2217/cer-2017-0070

DO - 10.2217/cer-2017-0070

M3 - Article

C2 - 29072090

AN - SCOPUS:85044756084

SN - 2042-6305

VL - 7

SP - 305

EP - 317

JO - Journal of Comparative Effectiveness Research

JF - Journal of Comparative Effectiveness Research

IS - 4

ER -

Hospital cost impact of orbital atherectomy with angioplasty for critical limb ischemia treatment: A modeling approach

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Keywords

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