Yvonne Jonk

Cost-effectiveness of open versus endovascular repair of abdominal aortic aneurysm in the OVER trial

OBJECTIVE This study was conducted to determine the costs and comparative cost-effectiveness of two methods of abdominal aortic aneurysm (AAA) repair in the Open Versus Endovascular Repair (OVER) Veterans Affairs (VA) Cooperative Study, a multicenter randomized trial of 881 patients. METHODS The primary outcomes of this analysis were mean total health care cost per life-year and per quality-adjusted life-year (QALY) from randomization to 2 years after. QALYs were calculated from EuroQol (EQ)-5D questionnaires collected at baseline and annually. Health care utilization data were obtained directly from patients and from national VA and Medicare data sources. VA costs were obtained from national VA sources using methods previously developed by the VA Health Economics Resource Center. Costs for non-VA care were determined from Medicare claims data or billing data from the patients health care providers. RESULTS After 2 years of follow-up, mean life-years were 1.78 in the endovascular repair group and 1.74 in the open repair group (difference, 0.04; 95% confidence interval [CI], -0.03 to 0.09; P = .29). Mean QALYs were 1.462 in the endovascular group and 1.461 in the open group (difference adjusting for baseline EQ-5D score, 0.006; 95% CI, -0.038 to 0.052; P = .78). Mean graft costs were higher in the endovascular group (

Cost-effectiveness of abdominal aortic aneurysm repair: a systematic review.

14,052 vs

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1363; P < .001), but length of stay was shorter (5.0 vs 10.5 days; P < .001), resulting in a lower mean cost of the hospital admission for the AAA procedure in the endovascular repair group of

Health care coverage and access to care: The status of Minnesota's veterans

37,068 vs

Changes in Outpatient Costs Following Screening and Diagnosis of Cognitive Impairment

42,970 (difference, -

Using the Medicare Current Beneficiary Survey to conduct research on Medicare-eligible veterans

5901; 95% CI, -

Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm.

12,135 to -

National trends in the provision of smoking cessation aids within the Veterans Health Administration.

821; P = .04). After 2 years, total health care costs remained lower in the endovascular group, but the difference was no longer significant (-

Who Is Still Uninsured in Minnesota?: Lessons From State Reform Efforts

5019; 95% CI, -

Interferon-based therapies for hepatitis C: Utilization, costs, and outcomes

16,720 to