[Economic evaluation of off-pump coronary artery bypass grafting; compared to conventional coronary artery bypass grafting].
This study was undertaken to compare economic outcomes of off-pump coronary artery bypass grafting (off-pump CABG: OPCAB) and conventional CABG (CCABG). We reviewed the medical records of 5 patients with ischemic coronary disease (IHD) who underwent OPCAB and 5 patients with IHD who underwent CCABG. A hospital income which was based on a current Japanese health insurance system was indicated. There were significant differences in total cost (OPCAB = 208,200 +/- 7,383 yen versus CCABG = 324,300 +/- 10,290 yen, 35.8% decreased), costs of medical materials and transfusions (OPCAB = 14,760 +/- 3,270 yen versus CCABG = 87,540 +/- 3,326, 81.3% decreased) and charges of surgery and anesthesia (OPCAB = 130,400 +/- 1,853 yen versus CCABG = 147,650 +/- 4,167 yen, 12% decreased) OPCAB markedly reduces the cost of hospitalization. But charges of surgery and anesthesia of OPCAB seems to be valued properly in a current Japanese health insurance system.
Tsuda
Y
Y
Department of Cardiovascular Surgery, National Nagano Hospital, Ueda, Japan.
Takemura
T
T
Shimamura
Y
Y
Iwasa
S
S
D000758:Anesthesia / Q000191:economics; D002315:Cardiopulmonary Bypass / Q000191:economics*; D001026:Coronary Artery Bypass / Q000191:economics* / Q000379:methods*; D003327:Coronary Disease / Q000191:economics / Q000601:surgery; D017048:Health Care Costs; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics; D007564:Japan; D009313:National Health Programs / Q000191:economics