Budget impact analysis of the percutaneous septal occluder for treatment of ostium secundum atrial septal defects in the Brazilian Unified National Health System.

Autor:	Senna KM; Instituto Nacional de Cardiologia, Rio de Janeiro, BR., Sarti FM; Universidade de São Paulo, São Paulo, BR., Costa MG; Instituto Nacional de Cardiologia, Rio de Janeiro, BR., Nita ME; Universidade de São Paulo, São Paulo, BR., Santos Mda S; Instituto Nacional de Cardiologia, Rio de Janeiro, BR., Tura BR; Instituto Nacional de Cardiologia, Rio de Janeiro, BR., Correia MG; Instituto Nacional de Cardiologia, Rio de Janeiro, BR.
Jazyk:	angličtina
Zdroj:	Cadernos de saude publica [Cad Saude Publica] 2015 Aug; Vol. 31 (8), pp. 1756-64.
DOI:	10.1590/0102-311X00039014
Abstrakt:	The aim of this study was to perform a budget impact analysis on the adoption of percutaneous occlusion of ostium secundum atrial septal defects in the Brazilian Unified National Health System. Costs were collected using micro-costing technique from medical records for each treatment technique (conventional surgery versus percutaneous septal occluder) at a public federal hospital specialized in high-complexity cardiology. The analysis showed that expenditures associated with percutaneous occlusion were lower than with conventional surgery, and sensitivity analysis confirmed the cost reduction in several scenarios, showing a significant budget impact with a 30% adoption rate for the percutaneous occluder (savings of approximately 1.5 million dollars per year). The study indicates that the adoption of the percutaneous septal occluder would mean cost savings of approximately 3.5 million dollars for the Brazilian public health system.
Databáze:	MEDLINE
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