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To the editor: One issue that has not been discussed in the paper by Christofferson et al1 is the cost-effectiveness of transcatheter therapies, particularly those based on the new transcatheter aortic valves.
Previous cost-effectiveness studies on surgical aortic valve replacement (AVR) compared AVR with best medical therapy (or no operation) and found that AVR had an acceptable cost-effectiveness profile (cost per quality-adjusted life year gained = approximately $13 500 calculated from an incremental lifetime cost of around $110 000 per patient and an incremental lifetime benefit of 8.2 quality-adjusted life years gained per patient in a series of 4617 subjects2). Likewise, …
Competing interests None.
Provenance and Peer review Not commissioned; not externally peer reviewed.
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