Hospital costs for elective endovascular and surgical repairs of infrarenal abdominal aortic aneurysms

J. L. Bosch, J. S. Lester, P. M. McMahon, M. T. Beinfeld, E. F. Halpern, J. A. Kaufman, D. C. Brewster, G. S. Gazelle

Research output: Contribution to journalArticle

54 Scopus citations

Abstract

PURPOSE: To determine and compare the average in-hospital costs of elective open surgical and endovascular repairs of infrarenal abdominal aortic aneurysms. MATERIALS AND METHODS: Total actual cost data for patients undergoing elective endovascular (n = 181) or open surgical (n = 273) repair of abdominal aortic aneurysms between 1997 and 1999 were retrieved. The mean total hospital cost (including stent-graft costs and excluding attending physician fees) and mean postoperative length of stay were calculated for each treatment group. Costs were expressed in 1999 U.S. dollars. RESULTS: Endovascular repair yielded a shorter postoperative length of stay than did open surgery (mean stay, 3.4 vs 8.0 days; P < .001) and a lower proportion of patients who were admitted to the intensive care unit for 1 full day or longer (2.8% vs 36.3%; P < .001). The mean total hospital cost was significantly higher for endovascular repair than for open surgery ($20,716 vs $18,484; P < .001). CONCLUSION: Hospital costs were higher for endovascular repair than for open surgical repair. However, endovascular repair was associated with a decreased length of stay and fewer intensive care unit admissions. The increased mean hospital cost for endovascular repair was smaller than one would expect, considering the higher costs of endovascular grafts, as compared with those for surgical grafts (approximately $6,400 according to literature data).

Original languageEnglish (US)
Pages (from-to)492-497
Number of pages6
JournalRADIOLOGY
Volume220
Issue number2
DOIs
StatePublished - Jan 1 2001

Keywords

  • 981.1286 Aorta
  • 981.1286 Cost-effectiveness Economics
  • 981.73 Aorta
  • Aneurysm
  • Aortic
  • Grafts and prostheses
  • Interventional procedures
  • Medical

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Bosch, J. L., Lester, J. S., McMahon, P. M., Beinfeld, M. T., Halpern, E. F., Kaufman, J. A., Brewster, D. C., & Gazelle, G. S. (2001). Hospital costs for elective endovascular and surgical repairs of infrarenal abdominal aortic aneurysms. RADIOLOGY, 220(2), 492-497. https://doi.org/10.1148/radiology.220.2.r01au29492