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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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Budget Impact of Three Improvement Targets for Compression Therapy for Patients with Deep Venous Thrombosis in The

Rachel H P Schreurs1,2,3, Arina J Ten Cate-Hoek4,5, Hugo Ten Cate4,5,6

  • 1Thrombosis Expert Centre Maastricht and Laboratory for Clinical Thrombosis and Haemostasis, Maastricht, The Netherlands. Rachel.schreurs@mumc.nl.

Pharmacoeconomics - Open
|April 19, 2023
PubMed

Insights

Improving compression therapy for deep venous thrombosis in the Netherlands can lead to significant cost savings. Targeted care enhancements offer a budget-conscious approach to managing this condition.

Area of Science:

  • Health Economics
  • Vascular Medicine
  • Public Health Policy

Background:

  • Compression therapy following deep venous thrombosis (DVT) in the Netherlands is currently suboptimal.
  • There is a need to assess the economic impact of improving DVT care pathways.

Purpose of the Study:

  • To evaluate the budget impact of targeted improvements in compression therapy for deep venous thrombosis (DVT).
  • To analyze healthcare resource use and costs associated with current DVT treatment pathways in the Netherlands.

Main Methods:

  • Calculated per-patient and population healthcare costs for 26,500 annual DVT cases across North Holland (NH-A, NH-B) and Limburg.
  • Assessed the impact of three interventions: optimized initial compression, early occupational therapist consultation, and tailored stocking duration.
  • Utilized interview, survey, literature, and standard pricing data, with sensitivity analyses for robustness.

Main Results:

  • Current 2-year per-patient costs ranged from €947 to €1256.
  • Improvements yielded direct savings in Limburg (€4.7 million) and overall cost reductions in NH-A (€2.2 million) within 3 years.
  • Initial cost increases were observed in North Holland, with varying 3-year outcomes; workload shifts occurred among healthcare professionals.

Conclusions:

  • The study offers detailed insights into DVT compression therapy costs and resource utilization.
  • Implementing targeted care improvements can lead to substantial cost savings within three years, particularly in specific regions.
  • Optimizing compression therapy presents a viable strategy for economic efficiency in DVT management.
Abstract

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