Assessment of cost-effectiveness of surgical clipping and endovascular coil methods in the treatment of unruptured cerebral aneurysms

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dc.authoridŞahin, İsmet/0000-0003-0878-5669
dc.authoridŞahin, Bayram/0000-0003-2772-3033
dc.contributor.authorKar, Ahmet
dc.contributor.authorŞahin, İsmet
dc.contributor.authorŞahin, Bayram
dc.date.accessioned2025-01-21T16:34:12Z
dc.date.available2025-01-21T16:34:12Z
dc.date.issued2022
dc.departmentKırıkkale Üniversitesi
dc.description.abstractPurpose: The study aims to assess the cost-effectiveness of endovascular coiling and surgical clipping in the treatment of unruptured cerebral aneurysms. Material and methods: Patients with ICD 10 167.1 and treated with one of the two treatment methods performed at the Hacettepe University Hospitals between January 2013 and December 2015 were included in the study. The cost data in the study were obtained by analyzing patient invoices through the automation program of the university hospital. The effectiveness and treatment costs were assessed using the Markov model with the Social Security Institution's (SSI) perspective. To generate the cost input in the model, the lifetime costs obtained based on the expert's opinions were added to the amounts received from patient invoices. Results: The study results were presented as the incremental cost-effectiveness ratio (ICER). When 3% reduction rate was applied to the costs and effectiveness data, the Quality Adjusted Life Years (QALY) was calculated as 4.39 and 1.84 for the coiling and clipping methods, respectively. Lifetime costs were 66463.40$ and 7900.27$ for the coiling and clipping methods, respectively. The incremental cost-effectiveness rate of endovascular coiling method was 22965.93. Conclusion: The endovascular coiling method was found to be cost-effective because the ICER score of the process is below the threshold.
dc.identifier.doi10.30621/jbachs.1013502
dc.identifier.endpage198
dc.identifier.issn2458-8938
dc.identifier.issn2564-7288
dc.identifier.issue1
dc.identifier.startpage189
dc.identifier.trdizinid1274508
dc.identifier.urihttps://doi.org/10.30621/jbachs.1013502
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay1274508
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23903
dc.identifier.volume6
dc.identifier.wosWOS:000748514500002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherDokuz Eylul Univ Inst Health Sciences
dc.relation.ispartofJournal of Basic and Clinical Health Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectCost-effectiveness; coiling; clipping; unruptured cerebral aneurysms
dc.titleAssessment of cost-effectiveness of surgical clipping and endovascular coil methods in the treatment of unruptured cerebral aneurysms
dc.typeArticle

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