Cost analysis of procedures related to the management of renal artery stenosis from various perspectives.
To determine the costs associated with the diagnostic work-up and percutaneous revascularization of renal artery stenosis from various perspectives. A prospective multicenter comparative study was conducted between 1998 and 2001. A total of 402 hypertensive patients with suspected renal artery stenosis were included. Costs were assessed of computed tomography angiography (CTA), magnetic resonance angiography (MRA), digital subtraction angiography (DSA), and percutaneous revascularization. From the societal perspective, DSA was the most costly (euro 1,721) and CTA the least costly diagnostic technique (euro 424). CTA was the least costly imaging procedure irrespective of the perspective used. The societal costs associated with percutaneous renal artery revascularization ranged from euro 2,680 to euro 6,172. Overall the radiology department incurred the largest proportion of the total societal costs. For the management of renal artery stenosis, performing the analysis from different perspectives leads to the same conclusion concerning the least costly diagnostic imaging and revascularization procedure.
Department of Clinical Epidemiology and Medical Technology Assessment, University Hospital, P Debyelaan 25, 6229 HX, Maastricht, The Netherlands. debby.van.helvoort@home.nl
Debby
D
van Helvoort-Postulart
Carmen D
CD
Dirksen
Abraham A
AA
Kroon
Patricia J
PJ
Nelemans
Peter W
PW
de Leeuw
Alfons G H
AG
Kessels
Jos M A
JM
van Engelshoven
M G
MG
Myriam Hunink
D000293:Adolescent; D000328:Adult; D000368:Aged; D000792:Angiography / Q000191:economics; D015901:Angiography, Digital Subtraction / Q000191:economics; D003365:Costs and Cost Analysis / Q000379:methods; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000191:economics; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000191:economics* / Q000628:therapy; D014057:Tomography, X-Ray Computed / Q000191:economics