Affiliation:
1. Instituto Nacional de Cardiologia, Brasil
2. Universidade de São Paulo, Brasil
Abstract
The aim of this study was to perform a budget impact analysis on the adoption of percutaneous occlusion of ostium secundum atrial septal defects in the Brazilian Unified National Health System. Costs were collected using micro-costing technique from medical records for each treatment technique (conventional surgery versus percutaneous septal occluder) at a public federal hospital specialized in high-complexity cardiology. The analysis showed that expenditures associated with percutaneous occlusion were lower than with conventional surgery, and sensitivity analysis confirmed the cost reduction in several scenarios, showing a significant budget impact with a 30% adoption rate for the percutaneous occluder (savings of approximately 1.5 million dollars per year). The study indicates that the adoption of the percutaneous septal occluder would mean cost savings of approximately 3.5 million dollars for the Brazilian public health system.
Subject
Public Health, Environmental and Occupational Health
Reference18 articles.
1. Oclusão percutânea de comunicação interatrial pelo Sistema Único de Saúde: uma opção economicamente viável;Rossi RIF;Rev Bras Cardiol Invasiva,2010
2. Comunicação interatrial do tipo ostium secundum: do tratamento cirúrgico ao percutâneo e os dinossauros do futuro;Pedra CAC;Arq Bras Cardiol,2003
3. Comunicação interatrial;Silveira AC;Rev Fac Ciênc Méd Sorocaba,2008
4. Endovascular closure of atrial septal defect,2004
5. Closure of secundum atrial septal defects with the Amplatzer septal occluder device: techniques and problems;Harper RW;Catheter Cardiovasc Interv,2002