Cost-effectiveness of open versus endovascular repair of abdominal aortic aneurysms: A systematic review
HU Ming
YANG Han
QIN Xiao
Abstract：Objective To evaluate therapeutic effectiveness of OR and EVAR of AAA and the difference of the cost effectiveness.Methods The Cochrane Central Register of Controlled Trials (the Cochrane Library),Ovid MEDLINE,EMBASE,ACP (American College of Physicians) Journal Club,CNKI,CBMdisc,Chinese Science and Technology Periodical Full Text Database (VIP)were retrieved.According to the inclusion and exclusion criteria,randomized controlled clinical trials and non randomized controlled experiment about endovascular treatment and traditional open surgical treatment of AAA which have been completed,ongoing or published before 2016 April were studied.Results A total of 251 papers were found;4 published randomized controlled trials and 12 non randomized controlled trials about the effectiveness and cost of AAA repair were pooled in the end.Conclusion The costs of the implant (stent or graft),direct costs,medical/ surgical supplies of endovascular treatment group are significantly higher than those of the conventional surgery group;the difference of the costs of following-up,consultation fees,operating room cost,preoperative cost and operation cost between two groups are not obvious,and in ICU and Ward costs,staff costs,costs of drugs and blood,endovascular treatment group was significantly lower than those of the conventional surgery group.
Keywords：abdominal aortic aneurysmendovascular aneurysm repairopen repaircost effectivenesssystematic review
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 1390-1396 )