Health Economic Impact of a Pulmonary Artery Pressure Sensor for Heart Failure Telemonitoring: A Dynamic Simulation

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Peter L Kolominsky-Rabas - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Christine Kriza - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Anatoli Djanatliev - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Florian Meier - (Autor:in)
  • Steffen Uffenorde - (Autor:in)
  • Jannis Radeleff - (Autor:in)
  • Philipp Baumgärtel - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Ines Leb - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Martin Sedlmayr - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Sebastian Gaiser - (Autor:in)
  • Philip B Adamson - (Autor:in)

Abstract

AIMS: Recently, a permanently implantable wireless system, designed to monitor and manage pulmonary artery (PA) pressures remotely, demonstrated significant reductions in heart failure (HF) hospitalizations in high-risk symptomatic patients, regardless of ejection fraction. The objectives of this study were to simulate the estimated clinical and economic impact in Germany of generalized use of this PA pressure monitoring system considering reductions of HF hospitalizations and the improvement in Quality of Life.

MATERIALS AND METHODS: Based on the Prospective Health Technology Assessment approach, we simulated the potential of the widespread application of PA pressure monitoring on the German healthcare system for the period 2009-2021.

RESULTS: This healthcare economic simulation formulated input assumptions based on results from the CHAMPION Trial, a multicenter, prospective, randomized controlled U.S. trial that demonstrated a 37% reduction of hospitalizations in persistently symptomatic previous HF patients. Based on these results, an estimated 114,800 hospitalizations would expected to be avoided. This effect would potentially save an estimated €522 million, an equivalent of $575 million, during the entire simulation period.

CONCLUSION: This healthcare economic modeling of the PA pressure monitoring system's impact demonstrates substantial clinical and economic benefits in the German healthcare system.

Details

OriginalspracheEnglisch
Seiten (von - bis)798-808
Seitenumfang11
FachzeitschriftTelemedicine and e-health : the official journal of the American Telemedicine Association
Jahrgang22
Ausgabenummer10
PublikationsstatusVeröffentlicht - Okt. 2016
Peer-Review-StatusJa
Extern publiziertJa

Externe IDs

Scopus 84991491247
ORCID /0000-0002-9888-8460/work/142254099

Schlagworte

Schlagwörter

  • Aged, Aged, 80 and over, Blood Pressure Monitoring, Ambulatory/economics, Computer Simulation, Female, Germany, Heart Failure/economics, Hospitalization/economics, Humans, Male, Middle Aged, Prospective Studies, Pulmonary Artery, Quality of Life, Remote Sensing Technology/economics, Telemedicine/economics