Economics of Coronary Artery Bypass Grafting
BMJ (British Medical Journal). 1985 Aug 3; 291(6491): 326-329.
To decide whether the rate of coronary artery bypass surgery in Great Britain should be increased, maintained at present levels, or decreased, the costs and benefits of this operation were evaluated and compared to the cost effectiveness of other expensive procedures provided by the National Health Service (NHS). Bypass grafting for more severe cases compares favorably with valve replacement for aortic stenosis and pacemaker implantation for heart block. It is more cost effective than heart transplantation and treatment for end stage renal failure, and probably less cost effective than hip replacement. The author concludes that, before any decision is reached, reliable comparisons must be made with other potential uses of NHS resources based on further research focused more on quality of life and public and private costs than on rate of survival. (KIE abstract)
Biomedical Technologies; Costs and Benefits; Economics; Evaluation; Health; Health Care; Heart Diseases; Hearts; Heart Transplantation; Life; Morbidity; Mortality; Physicians; Prevalence; Prognosis; Quality of Life; Research; Research Design; Resource Allocation; Surgery; Technology; Technology Assessment; Transplantation;
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