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  1. The cost-effectiveness of early surgery versus watchful waiting in the management of small abdominal aortic aneurysms. Discussion.

    Article, Communication - En anglais

    New England Society for Vascular Surgery. Annual meeting. Cambridge MA USA, 1993/10/28.

    Purpose 

    The purpose of this study was to compare the relative cost-effectiveness of two clinical strategies for managing 4 to 5 cm diameter abdominal aortic aneurysms (AAAs) : early surgery (repair 4 cm AAA when diagnosed) versus watched waiting (monitor AAA with ultrasound size measurements every 6 months and repair if the diameter reaches 5 cm).

    Method 

    We used a Markov decision tree to compute the expected survival in quality-adjusted life years (QALYs) for each strategy, based on literature-derived estimates for the probabilities of different outcomes in this model.

    We determined hospital costs for patients undergoing elective and emergency AAA repair at our center.

    Mots-clés Pascal : Anévrysme, Aorte abdominale, Petite dimension, Chirurgie, Coût, Traitement, Temps attente, Homme, Economie santé, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Aorte pathologie, Artère pathologie

    Mots-clés Pascal anglais : Aneurysm, Abdominal aorta, Small dimension, Surgery, Costs, Treatment, Waiting time, Human, Health economy, Cardiovascular disease, Vascular disease, Aortic disease, Arteriopathy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0514937

    Code Inist : 002B25F. Création : 199501.