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Cost-effectiveness of transcatheter aortic valve replacement in patients ineligible for conventional aortic valve replacement
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  • Published on:
    Industry-sponsored cost-effectiveness study of TAVI
    • Michale A. Crilly, Senior Lecturer in Clinical Epidemiology.
    • Other Contributors:
      • Christopher Littlejohn

    The potential cost-effectiveness (CE) of adopting innovative procedures within a publically funded healthcare system is a recurring issue.[1] Trans-catheter aortic valve insertion (TAVI) is not currently provided by the devolved National Health Service (NHS) in Scotland, although a single high quality randomised controlled clinical trial (RCT) has demonstrated that TAVI is a clinically effective intervention for reducin...

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    Conflict of Interest:
    None declared.
  • Published on:
    Important cost categories not included: TAVI probably less cost-effective

    Patients eligible for the TAVI intervention are old (>75), face a high mortality risk and generally have multiple comorbidities [1]. Health care consumption of this group of patients can therefore expected to be high [2,3]. As a consequence, life extension in this group would probably result in additional health care consumption in so-called life years gained. Health care consumption in life years gained could be due...

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    Conflict of Interest:
    None declared.