Budget Impact of Cryoablation Versus Radiofrequency Ablation of Atrial Fibrillation in the Brazilian Public Healthcare System

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dc.contributor.authorPaço, Patricia
dc.contributor.authorTura, Bernardo
dc.contributor.authorSantos, Marisa
dc.contributor.authorAmparo, Pedro
dc.contributor.authorDe Lorenzo, Andrea
dc.date.accessioned2023-12-18T14:39:05Z
dc.date.available2023-12-18T14:39:05Z
dc.date.issued2019
dc.description.abstractBackground: Cryoablation is a new technology for ablation of atrial fibrillation (AF), effective and safe when compared with standard radiofrequency (RF) ablation. Nevertheless, the economic impact of its incorporation is unknown, especially considering the public health system of a developing country. This study analyzed the budget impact of cryoablation incorporation for treatment of paroxysmal AF in the Brazilian public health system. Methods: The budget impact was calculated as the cost difference between the current scenario (RF ablation guided by electroanatomic mapping) and the new scenario (cryoablation). The cost of each intervention was obtained by multiplying the price of a single procedure by the number of candidates for it. Other technologies (RF ablation guided by intracardiac echocardiography or with a nonirrigated catheter) were considered in a sensitivity analysis. Results: The budget impact showed savings of $43 097 096.84 with cryoablation. In the sensitivity analysis, cryoablation resulted in cost savings compared with RF ablation guided by intracardiac echocardiography, whereas in comparison to RF ablation with the nonirrigated catheter, cryoablation was more expensive. A market share assessment, performed using an incorporation rate of 3% per year, indicated savings of approximately $800 000 per 5 years. Conclusions: Cryoablation of AF resulted in cost savings compared with the current scenario (RF ablation guided by electroanatomic mapping). When alternative technologies were considered, cryoablation was more expensive than RF ablation with a nonirrigated catheter, but it also resulted in savings compared with RF ablation guided by intracardiac echocardiography. Overall, cryoablation of AF may reduce expenditures in the Brazilian public health system.
dc.identifier.citationPaço P, Tura B, Santos M, Amparo P, De Lorenzo A. Budget Impact of Cryoablation Versus Radiofrequency Ablation of Atrial Fibrillation in the Brazilian Public Healthcare System. Value Health Reg Issues. 2019 Dec;20:149-153. doi: 10.1016/j.vhri.2019.05.004. Epub 2019 Aug 21. PMID: 31445328.
dc.identifier.otherDOI: 10.1016/j.vhri.2019.05.004
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/382
dc.language.isoen
dc.publisherValue in Health Regional Issues
dc.subjectRadiofrequency ablationen
dc.subjectCryoablationen
dc.subjectCost analysisen
dc.subjectBudget impacten
dc.subjectAtrial fibrillationen
dc.subjectAblationen
dc.subject.meshHealth Care Costs / statistics & numerical dataen
dc.subject.meshFemaleen
dc.subject.meshCryosurgery / methodsen
dc.subject.meshCryosurgery / economicsen
dc.subject.meshCost Savings / statistics & numerical dataen
dc.subject.meshCost Savings / economicsen
dc.subject.meshBrazil / epidemiologyen
dc.subject.meshAtrial Fibrillation / surgeryen
dc.subject.meshAtrial Fibrillation / epidemiologyen
dc.subject.meshAtrial Fibrillation / economicsen
dc.subject.meshAgeden
dc.subject.meshAge factorsen
dc.subject.meshAdulten
dc.subject.meshYoung Adulten
dc.subject.meshSex Factorsen
dc.subject.meshRadiofrequency Ablation / methodsen
dc.subject.meshRadiofrequency Ablation / economicsen
dc.subject.meshMiddle Ageden
dc.subject.meshMaleen
dc.subject.meshHumansen
dc.titleBudget Impact of Cryoablation Versus Radiofrequency Ablation of Atrial Fibrillation in the Brazilian Public Healthcare System
dc.typeArticle
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