Comparison of costs associated with transcatheter mitral valve repair: PASCAL vs MitraClip in a real-world setting
Abstract Aims We aimed to conduct a clinical process cost analysis to evaluate all upcoming costs of mitral valve transcatheter edge-to-edge repair (M-TEER) treatment using the MitraClip and the PASCAL repair system. Methods First, we prospectively enrolled 107 M-TEER patients treated with either th...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09966-8 |
| _version_ | 1797453390794457088 |
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| author | Jean Marc Haurand Jafer Haschemi Daniel Oehler Yvonne Heinen Amin Polzin Malte Kelm Patrick Horn |
| author_facet | Jean Marc Haurand Jafer Haschemi Daniel Oehler Yvonne Heinen Amin Polzin Malte Kelm Patrick Horn |
| author_sort | Jean Marc Haurand |
| collection | DOAJ |
| description | Abstract Aims We aimed to conduct a clinical process cost analysis to evaluate all upcoming costs of mitral valve transcatheter edge-to-edge repair (M-TEER) treatment using the MitraClip and the PASCAL repair system. Methods First, we prospectively enrolled 107 M-TEER patients treated with either the PASCAL or MitraClip system and compared all upcoming costs during the M-TEER procedure and the associated in-hospital stay. Second, we retrospectively analysed 716 M-TEER procedures with regard to the occurrence of complications and their associated costs. All materials used in the catheterization laboratory for the procedures were evaluated. The cost analysis considered various expenses, such as general in-hospital costs, device costs, catheter laboratory and material costs. Results In the prospective study, 51 patients were treated using the PASCAL system, and 56 were treated using the MitraClip system. The two groups had comparable baseline characteristics and comorbidities. The total in-hospital costs were 25 414 (Interquartile range (IQR) 24 631, 27 697) € in the PASCAL group and 25 633 (IQR 24 752, 28 256) € in the MitraClip group (p = 0.515). The major cost driver was initial material expenditure, mostly triggered by device costs, which were similar to the PASCAL and MitraClip systems. Overall intensive care unit and general ward costs did not differ between the PASCAL and MitraClip groups. In the retrospective analysis, M-TEER-related complications were rare but were associated with higher costs, mainly due to prolonged hospitalisation. Conclusion The major cost driver of M-TEER was the material expenditure, which was mostly triggered by high device costs. The costs of treating patients were similar for the PASCAL and MitraClip systems. M-TEER-related complications are associated with higher costs, mainly due to prolonged hospitalisation. This analysis provides valuable insights into reducing expenses by modifying the process of M-TEER. |
| first_indexed | 2024-03-09T15:22:08Z |
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| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-09T15:22:08Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-20ece8e294744141832570ddc3dd8a002023-11-26T12:44:08ZengBMCBMC Health Services Research1472-69632023-09-0123111110.1186/s12913-023-09966-8Comparison of costs associated with transcatheter mitral valve repair: PASCAL vs MitraClip in a real-world settingJean Marc Haurand0Jafer Haschemi1Daniel Oehler2Yvonne Heinen3Amin Polzin4Malte Kelm5Patrick Horn6Department of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University DüsseldorfDepartment of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University DüsseldorfDepartment of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University DüsseldorfDepartment of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University DüsseldorfDepartment of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University DüsseldorfDepartment of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University DüsseldorfDepartment of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University DüsseldorfAbstract Aims We aimed to conduct a clinical process cost analysis to evaluate all upcoming costs of mitral valve transcatheter edge-to-edge repair (M-TEER) treatment using the MitraClip and the PASCAL repair system. Methods First, we prospectively enrolled 107 M-TEER patients treated with either the PASCAL or MitraClip system and compared all upcoming costs during the M-TEER procedure and the associated in-hospital stay. Second, we retrospectively analysed 716 M-TEER procedures with regard to the occurrence of complications and their associated costs. All materials used in the catheterization laboratory for the procedures were evaluated. The cost analysis considered various expenses, such as general in-hospital costs, device costs, catheter laboratory and material costs. Results In the prospective study, 51 patients were treated using the PASCAL system, and 56 were treated using the MitraClip system. The two groups had comparable baseline characteristics and comorbidities. The total in-hospital costs were 25 414 (Interquartile range (IQR) 24 631, 27 697) € in the PASCAL group and 25 633 (IQR 24 752, 28 256) € in the MitraClip group (p = 0.515). The major cost driver was initial material expenditure, mostly triggered by device costs, which were similar to the PASCAL and MitraClip systems. Overall intensive care unit and general ward costs did not differ between the PASCAL and MitraClip groups. In the retrospective analysis, M-TEER-related complications were rare but were associated with higher costs, mainly due to prolonged hospitalisation. Conclusion The major cost driver of M-TEER was the material expenditure, which was mostly triggered by high device costs. The costs of treating patients were similar for the PASCAL and MitraClip systems. M-TEER-related complications are associated with higher costs, mainly due to prolonged hospitalisation. This analysis provides valuable insights into reducing expenses by modifying the process of M-TEER.https://doi.org/10.1186/s12913-023-09966-8Mitral valve regurgitationCost comparisonMitraClipPASCALComplications |
| spellingShingle | Jean Marc Haurand Jafer Haschemi Daniel Oehler Yvonne Heinen Amin Polzin Malte Kelm Patrick Horn Comparison of costs associated with transcatheter mitral valve repair: PASCAL vs MitraClip in a real-world setting BMC Health Services Research Mitral valve regurgitation Cost comparison MitraClip PASCAL Complications |
| title | Comparison of costs associated with transcatheter mitral valve repair: PASCAL vs MitraClip in a real-world setting |
| title_full | Comparison of costs associated with transcatheter mitral valve repair: PASCAL vs MitraClip in a real-world setting |
| title_fullStr | Comparison of costs associated with transcatheter mitral valve repair: PASCAL vs MitraClip in a real-world setting |
| title_full_unstemmed | Comparison of costs associated with transcatheter mitral valve repair: PASCAL vs MitraClip in a real-world setting |
| title_short | Comparison of costs associated with transcatheter mitral valve repair: PASCAL vs MitraClip in a real-world setting |
| title_sort | comparison of costs associated with transcatheter mitral valve repair pascal vs mitraclip in a real world setting |
| topic | Mitral valve regurgitation Cost comparison MitraClip PASCAL Complications |
| url | https://doi.org/10.1186/s12913-023-09966-8 |
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