ECONOMIC EFFECTIVENESS OF TREATMENT OF PATIENTS WITH THE TECHNIQUES OF X-RAY AND VASCULAR ANGIPLASTY AND OPEN SURGERY OF THE FEMOLOGICAL AND INFRARED SEGMENT FOR ISCHEMIA THAT THREATENS THE LIMBS

Authors

  • O. A. Golyachenko State Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2023.2.14041

Keywords:

economic efficiency, X-ray angioplasty, bypass surgary

Abstract

Purpose: to compare the cost-effectiveness of various methods of surgical treatment of occlusive-stenotic lesions of the femological and infrared segment for lower extremity with long-term follow-up.

Materials and Methods. In the conducted analysis, including retrospective data in a group with a different survival observation period, economic efficiency coefficients were used, based on the effectiveness of treatment, measured by the annual survival of patients, and the average cost of this procedure in accordance with the decision-making rule in the economic evaluation of medical programs.

Results. Analysis of the cost and effectiveness of surgical treatment patients with occlusive-stenotic lesions femological and infrared segment for limb-threatening ischemia was carried out in 145 observations. Data on the costs of medical workers' wages, material and technical costs, costs of surgical interventions, medications that were used, additional examinations, etc. Were filled retrospectively for the period from 2018 to 2019 inclusive. On the basis of economic efficiency, ratio final results to spent resources, loss of profit for the period of inpatient treatment and loss due to limitation patient's working capacity was calculated.

Conclusions. The method open surgical intervention in limb-threatening ischemia is characterized by a more favorable indicator of economic efficiency, providing similar efficiency, measured by long-term survival, with significantly smaller amounts of payment for performed operation. The difference in payment for the procedure is primarily related to the many times higher cost of consumables for X-ray endovascular intervention. Hybrid procedures are superior to bypass procedures and X-ray endovascular procedures, providing the best results in terms of long-term survival, hospital stay, and cost-effectiveness ratio.

Author Biography

O. A. Golyachenko, State Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, Ukraine

postgraduate student of the State Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department

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Published

2023-08-24

How to Cite

Golyachenko, O. A. (2023). ECONOMIC EFFECTIVENESS OF TREATMENT OF PATIENTS WITH THE TECHNIQUES OF X-RAY AND VASCULAR ANGIPLASTY AND OPEN SURGERY OF THE FEMOLOGICAL AND INFRARED SEGMENT FOR ISCHEMIA THAT THREATENS THE LIMBS. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2), 100–105. https://doi.org/10.11603/1681-2786.2023.2.14041

Issue

No. 2 (2023)

Section

Organization of medical care

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