Cost-effectiveness of implantable cardioverter-defibrillator in today's world

Giuseppe Boriani1, Paolo Cimaglia1, Mauro Biffi1

  • 1Institute of Cardiology, Department of Experimental, Diagnostic and Specialty Medicine, University Hospital Sant' Orsola-Malpighi, Via Massarenti 9, 40138 Bologna, Italy.

Indian Heart Journal
|February 27, 2014
PubMed

Insights

Implantable cardioverter-defibrillators (ICDs) effectively prevent sudden cardiac death but pose cost challenges. This review explores economic tools to aid decision-making for ICD implementation.

Area of Science:

  • Cardiology
  • Health Economics

Background:

  • Implantable cardioverter-defibrillators (ICDs) are established therapies for preventing sudden cardiac death (SCD) in various heart conditions.
  • Expanded guidelines now recommend prophylactic ICDs, increasing patient eligibility and implementation costs.

Purpose of the Study:

  • To review economic tools for addressing the cost challenges associated with ICD therapy.
  • To facilitate informed decision-making among healthcare professionals, administrators, and policymakers.

Main Methods:

  • Literature review of economic evaluation tools relevant to medical devices.
  • Analysis of cost-effectiveness and budget impact models for ICDs.

Main Results:

  • ICDs demonstrate significant clinical benefits but require substantial upfront investment.
  • Economic tools can help quantify long-term value and guide resource allocation for ICDs.

Conclusions:

  • Understanding economic implications is crucial for the sustainable integration of ICDs.
  • Economic evaluations support rational decision-making in the widespread implementation of ICD therapy.

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