What are the costs of atrial fibrillation?

被引:32
作者
Lundqvist, Carina Blomstrom [1 ]
Lip, Gregory Y. H. [2 ]
Kirchhof, Paulus [3 ,4 ]
机构
[1] Uppsala Univ, Dept Med Sci, Uppsala, Sweden
[2] Univ Birmingham, City Hosp, Ctr Cardiovasc Sci, Birmingham, W Midlands, England
[3] Univ Hosp Munster, Dept Cardiol & Angiol, D-48149 Munster, Germany
[4] German Atrial Fibrillat Competence NETwork AFNET, Munster, Germany
来源
EUROPACE | 2011年 / 13卷
关键词
Ablation; Cost; Cost effectiveness; Oral anticoagulation; Stroke; RISK-FACTORS; FOLLOW-UP; CARDIOVASCULAR-DISEASE; RESOURCE UTILIZATION; STROKE PREVENTION; RHYTHM MANAGEMENT; SECULAR TRENDS; HEART-FAILURE; PREVALENCE; CARE;
D O I
10.1093/europace/eur087
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The costs of atrial fibrillation (AF) are linked to the general cost of managing AF patients in different health-care systems, as well as the cost of managing AF-related complications (e.g. hospitalizations and long-term complications, such as stroke). In addition, indirect medical costs, such as care for patients who do not recuperate fully from a vascular event, and non-medical costs such as loss of work force add to the costs of AF. All estimations for cost of AF and cost of AF therapy are based on assumptions and markedly influenced by these cost determinants. This urges for extreme caution not to take cost estimates at their absolute values. In fact, even relative comparisons between interventions may have different consequences in terms of direct and indirect costs in different health-care settings. While newer therapeutic options appear to increase the cost of AF management, newer antithrombotic substances and adequate rhythm control therapy also carry the promise of preventing the two major drivers of AF-related cost, hospitalizations and AF-related complications. Formal assessment of the cost of AF requires adjustment to local practice, and more data are clearly needed especially from primary care to better estimate the 'real' cost impact of AF.
引用
收藏
页码:II9 / II12
页数:4
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