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- W1996493630 abstract "<h3>Background</h3> A short saphenous vein segment is commonly used as a conduit for coronary artery bypass grafting, and clinicians must decide whether to obtain it by performing open (OVH) or endoscopic vein harvest (EVH). We conducted a health economic evaluation, using data on resource usage collected alongside a randomized controlled trial, to investigate whether EVH is cost-effective compared with OVH. <h3>Methods</h3> Analyses were performed in accordance with international guidelines for health economic evaluations. We constructed 3 cost-levels as the current literature is inconclusive as to which resource consumptions differ significantly between harvesting methods. Outcomes were measured as purulent infections avoided in the cost-effectiveness analysis and for the cost-utility analysis we estimated quality-adjusted life-years gained. Results were presented as incremental cost-effectiveness ratios: ie, the extra cost of obtaining one extra quality-adjusted life-year and the extra cost of avoiding one purulent infection. To handle uncertainties, we performed bias corrected bootstrap analyses on 5,000 resamples and constructed cost-effectiveness acceptability curves. <h3>Results</h3> The incremental cost-effectiveness ratio was $79,391/quality-adjusted life-year and $1,970/purulent infection avoided when costs and outcomes within 35 days postoperatively were compared. Within 35 days postoperatively, EVH was less than 1% cost-effective at a willingness-to-pay threshold of $50,000/quality-adjusted life-year. <h3>Conclusions</h3> The EVH was not cost-effective within 35 days postoperatively. Future studies should investigate long-term cost effectiveness." @default.
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- W1996493630 date "2012-04-01" @default.
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- W1996493630 title "Economic Evaluation of Endoscopic Versus Open Vein Harvest for Coronary Artery Bypass Grafting" @default.
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- W1996493630 doi "https://doi.org/10.1016/j.athoracsur.2012.01.029" @default.
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