Technology assessment of nonsurgical closure of patent ductus arteriosus: an evaluation of the clinical effectiveness and costs of a new medical device.
Pediatrics
; 96(4 Pt 1): 703-6, 1995 Oct.
Article
em En
| MEDLINE
| ID: mdl-7567334
ABSTRACT
OBJECTIVE:
To assess the clinical efficacy and cost impact of a new medical device for the nonsurgical closure of patent ductus arteriosus (PDA).METHODS:
This was a before-after study comparing the most recent 20 surgical procedures with the first 20 nonsurgical procedures for PDA using a new medical device. Clinical outcome, hospital stay, device cost, and physician fees were compared.RESULTS:
Surgical closure was effective in all 20 patients, with an average cost of $4667. In a similar patient group, nonsurgical closure was achieved in 18 of 20 patients (90%), with an estimated average cost per successful procedure of $4690. A clinically insignificant PDA leak persisted beyond 12 months in four nonsurgically managed patients.CONCLUSION:
Nonsurgical closure of PDA can be recommended as an effective new medical technique that is not associated with a measurable increase in direct costs and that provides significant indirect and intangible cost advantages.
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Base de dados:
MEDLINE
Assunto principal:
Avaliação da Tecnologia Biomédica
/
Cateterismo Cardíaco
/
Permeabilidade do Canal Arterial
Tipo de estudo:
Health_economic_evaluation
/
Health_technology_assessment
Limite:
Child
/
Child, preschool
/
Humans
/
Infant
Idioma:
En
Ano de publicação:
1995
Tipo de documento:
Article