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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

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Expert panel on cost analysis of atrial fibrillation

Ali Serdar Fak1, M Serdar Küçükoğlu, Nazire Afşar Fak

  • 1Practice and Research Center, Marmara University Hypertension and Atherosclerosis Training-İstanbul, Turkey. serdarfak@marmara.edu.tr

Anadolu Kardiyoloji Dergisi : AKD = the Anatolian Journal of Cardiology
|October 17, 2012
PubMed

Insights

Managing atrial fibrillation (AF) and its complications like heart failure and stroke incurs significant costs. Uncontrolled AF places an extra burden on healthcare economics, impacting treatment expenses.

Area of Science:

  • Cardiology
  • Health Economics
  • Clinical Practice Research

Background:

  • Atrial fibrillation (AF) management involves complex comorbidities.
  • Cost-effectiveness of AF treatment pathways requires evaluation.
  • Guidelines and real-world practice may differ in cost implications.

Purpose of the Study:

  • To estimate the total cost of managing atrial fibrillation (AF).
  • To compare costs related to acute coronary syndrome, heart failure, stroke, and adverse drug events.
  • To analyze costs based on clinical practice versus established guidelines.

Main Methods:

  • Cost analysis study utilizing standardized questionnaires.
  • Expert-filled forms reflecting daily clinical practice.
  • Comparison with ACCF/AHA/ESC guideline recommendations.

Main Results:

  • Acute coronary syndrome costs were higher in clinical practice (5,478.43 TL) vs. guidelines (11,319.44 TL).
  • Heart failure costs were lower in clinical practice (4,523.74 TL) vs. guidelines (2,925.86 TL).
  • Stroke costs varied, with clinical practice at 5,719.25 TL and guidelines at 7,931.18 TL.

Conclusions:

  • Clinical practice and guideline-based management of AF and its complications present differing economic burdens.
  • Uncontrolled AF significantly impacts health economics.
  • Further research into cost-effective AF management strategies is warranted.
Abstract

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