Evidence map›Paper›PMID 29864193›Full record

ArticleJournal of cardiovascular electrophysiology2018

Patient and facility variation in costs of catheter ablation for atrial fibrillation.

Alexander C Perino, Jun Fan, Susan K Schmitt, Daniel W Kaiser, Paul A Heidenreich, Sanjiv M Narayan, Paul J Wang, Andrew Y Chang, Mintu P Turakhia

Abstract read
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alexander C PerinoVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Jun FanVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Susan K SchmittVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Daniel W KaiserVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Paul A HeidenreichVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Sanjiv M NarayanVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.ORCID 0000-0001-7552-5053
Paul J WangVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Andrew Y ChangVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Mintu P TurakhiaVeterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.ORCID 0000-0001-8025-0904

Funding

The Dynamics of Human Atrial FibrillationR01HL083359 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sanjiv M Narayan · 2008 to 2026
$7.9M
T32 Training Program in Mechanisms and Innovation in Vascular DiseaseT32HL098049 · NHLBI · STANFORD UNIVERSITY · PI Nicholas James Leeper, Philip S Tsao · 2010 to 2026
$6.3M
The Maintenance of Human Atrial FibrillationK24HL103800 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NARAYAN, SANJIV M · 2010 to 2019
$1.9M
NHLBI NIH HHS K24 HL103800NHLBI NIH HHS R01 HL083359
6 · The paper itself

Abstract

backgroundCost-effectiveness or value of cardiovascular therapies may be undermined by unwarranted cost variation, particularly for heterogeneous procedures such as catheter ablation for atrial fibrillation (AF). We sought to characterize cost variation of AF ablation in the US healthcare system and the relationship between cost and outcomes. METHODS AND

resultsWe performed a retrospective cohort study using data from the MarketScan

conclusionsAlthough median costs of AF ablation are below amounts used in prior cost-effectiveness studies that demonstrated good value, large facility variation in cost suggests opportunities for cost reduction. However, for outpatient encounters, association of cost to modestly improved outcomes suggests cost containment strategies could have variable effects.

Indexed as

AgedAtrial FibrillationCatheter AblationCohort StudiesCost-Benefit AnalysisFemaleHospitalizationHumansInsurance Claim ReportingMaleMedicareMiddle AgedRetrospective StudiesUnited Statesatrial fibrillationcatheter ablationcost effectivenesscost variationvalue

Identifiers

PMID29864193
PMCPMC6469652

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.