Assessment of cost-effectiveness of surgical clipping and endovascular coil methods in the treatment of unruptured cerebral aneurysms

Ahmet KAR; İsmet ŞAHİN; Bayram ŞAHİN

doi:https://doi.org/10.30621/jbachs.1013502

Article Details

Assessment of cost-effectiveness of surgical clipping and endovascular coil methods in the treatment of unruptured cerebral aneurysms

Authors:

Ahmet KAR | İsmet ŞAHİN | Bayram ŞAHİN

Publisher:

Dokuz Eylul University

Main Topics:

Promotion of health

Journal:

Journal of Basic and Clinical Health Sciences 2022 Vol.6 Issue 1, pp.189-198

Document Type:

Article

Publication Date:

1/2022

Document Language:

English

Document ID (Org No.):

2000493023

Frequency:

Tri-annual

eISSN:

2564-7288

DOI:

https://doi.org/10.30621/jbachs.1013502

Abstract:

 

Background and aim: The study aims to assess the cost-effectiveness of endovascular coiling and surgical clipping in the treatment of unruptured cerebral aneurysms.
Materials and methods: Patients with ICD 10 I67.1 and treated with one of the two treatment methods performed at the Hacettepe University Hospitals between January 2013 and December 2015 were included in the study. The cost data in the study were obtained by analyzing patient invoices through the automation program of the university hospital. The effectiveness and treatment costs were assessed using the Markov model with the Social Security Institution’s (SSI) perspective. To generate the cost input in the model, the lifetime costs obtained based on the expert’s opinions were added to the amounts received from patient invoices. 
Results: The study results were presented as the incremental cost-effectiveness ratio (ICER). When 3% reduction rate was applied to the costs and effectiveness data, the Quality Adjusted Life Years (QALY) was calculated as 4.39 and 1.84 for the coiling and clipping methods, respectively. Lifetime costs were 66463.40and7900.27and7900.27 and 7900.27 for the coiling and clipping methods, respectively. The incremental cost-effectiveness rate of endovascular coiling method was 22965.93.
Conclusion: The endovascular coiling method was found to be cost-effective because the ICER score of the process is below the threshold.

Article Details

Assessment of cost-effectiveness of surgical clipping and endovascular coil methods in the treatment of unruptured cerebral aneurysms

Authors: Ahmet KAR | İsmet ŞAHİN | Bayram ŞAHİN

Publisher: Dokuz Eylul University

Main Topics: Promotion of health

Journal: Journal of Basic and Clinical Health Sciences 2022 Vol.6 Issue 1, pp.189-198

Document Type: Article

Publication Date: 1/2022

Document Language: English

Document ID (Org No.): 2000493023

Frequency: Tri-annual

eISSN: 2564-7288

DOI: https://doi.org/10.30621/jbachs.1013502

Issues

Authors:

Ahmet KAR | İsmet ŞAHİN | Bayram ŞAHİN

Publisher:

Dokuz Eylul University

Main Topics:

Promotion of health

Journal:

Journal of Basic and Clinical Health Sciences 2022 Vol.6 Issue 1, pp.189-198

Document Type:

Article

Publication Date:

1/2022

Document Language:

English

Document ID (Org No.):

2000493023

Frequency:

Tri-annual

eISSN:

2564-7288

DOI:

https://doi.org/10.30621/jbachs.1013502