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A cost-utility analysis of pacemaker...

Mitton, Craig Roy.

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A cost-utility analysis of pacemakers for the treatment of neurally mediated syncope.

Record Type:	Electronic resources : Monograph/item
Title/Author:	A cost-utility analysis of pacemakers for the treatment of neurally mediated syncope./
Author:	Mitton, Craig Roy.
Description:	96 p.
Notes:	Source: Masters Abstracts International, Volume: 37-03, page: 0907.
Contained By:	Masters Abstracts International37-03.
Subject:	Health Sciences, Medicine and Surgery. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=MQ34979
ISBN:	0612349799

A cost-utility analysis of pacemakers for the treatment of neurally mediated syncope.
Mitton, Craig Roy.

A cost-utility analysis of pacemakers for the treatment of neurally mediated syncope. - 96 p.

Source: Masters Abstracts International, Volume: 37-03, page: 0907.

Thesis (M.Sc.)--University of Calgary (Canada), 1998.

Dual chamber pacing with rate drop sensing (DDD-RDS) is a novel, effective and expensive treatment for patients with very frequent neurally mediated syncope (NMS). Its cost-utility from the payer's perspective is unknown. We studied HRQL as measured with the EQ-5D, and the cost to the health care system, for the year before and the year after receiving a DDD-RDS. Physician billings were obtained from Alberta Health, and inpatient, outpatient and emergency costs including initial pacemaker implants were obtained from the CRHA. Recurring costs were extrapolated over 10 years to the expected life of the pacemaker. HRQL scores significantly improved with pacemaker therapy (p

ISBN: 0612349799Subjects--Topical Terms:

1017756
Health Sciences, Medicine and Surgery.

A cost-utility analysis of pacemakers for the treatment of neurally mediated syncope.
LDR:01837nmm 2200277 4500 001 1817931
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020 $a 0612349799
035 $a (UnM)AAIMQ34979
035 $a AAIMQ34979
040 $a UnM $c UnM
100 1 $a Mitton, Craig Roy. $3 1907276
245 1 2 $a A cost-utility analysis of pacemakers for the treatment of neurally mediated syncope.
300 $a 96 p.
500 $a Source: Masters Abstracts International, Volume: 37-03, page: 0907.
500 $a Adviser: M. Sarah Rose.
502 $a Thesis (M.Sc.)--University of Calgary (Canada), 1998.
520 $a Dual chamber pacing with rate drop sensing (DDD-RDS) is a novel, effective and expensive treatment for patients with very frequent neurally mediated syncope (NMS). Its cost-utility from the payer's perspective is unknown. We studied HRQL as measured with the EQ-5D, and the cost to the health care system, for the year before and the year after receiving a DDD-RDS. Physician billings were obtained from Alberta Health, and inpatient, outpatient and emergency costs including initial pacemaker implants were obtained from the CRHA. Recurring costs were extrapolated over 10 years to the expected life of the pacemaker. HRQL scores significantly improved with pacemaker therapy (p $< $. 001). A low incremental cost per QALY gained was observed for pacemaker treatment of NMS ( $9 942 per QALY gained). This result was robust to variations of expected pacemaker life and treatment effect, and indicates that pacemaker therapy for this population merits public funding.
590 $a School code: 0026.
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0564
690 $a 0769
710 2 0 $a University of Calgary (Canada). $3 1017619
773 0 $t Masters Abstracts International $g 37-03.
790 1 0 $a Rose, M. Sarah, $e advisor
790 $a 0026
791 $a M.Sc.
792 $a 1998
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=MQ34979