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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

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

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

Original languageEnglish
Pages (from-to)798-808
Number of pages11
JournalTelemedicine and e-health : the official journal of the American Telemedicine Association
Volume22
Issue number10
Publication statusPublished - Oct 2016
Peer-reviewedYes
Externally publishedYes

External IDs

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

Keywords

Keywords

  • 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