Evidence map›Paper›PMID 37171711›Full record

ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2023

Budget impact of endovascular treatment for acute ischaemic stroke patients in the Netherlands for 2015-2021.

Lucie A van den Berg, Olvert A Berkhemer, Puck S S Fransen, Debbie Beumer, Charles B L Majoie, Diederik W J Dippel, Aad van der Lugt, Robert J van Oostenbrugge, Wim H van Zwam, Yvo B Roos and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Individual, societal and clinical burden of cardiovascular disease: health technology assessment to guide new diagnostics and treatment strategies.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2023
    Article
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

12 authors at 5 institutions in 1 country.

Lucie A van den BergDepartment of Neurology, Amsterdam University Medical Centres, location Academic Medical Centre, Amsterdam, The Netherlands. l.a.vandenberg@amsterdamumc.nl.
Olvert A BerkhemerAmsterdam Neuroscience Research Institute, Neurovascular disorders research programme, Amsterdam University Medical Centres, location Academic Medical Centre, Amsterdam, The Netherlands.
Puck S S FransenDepartments of Neurology, Erasmus University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Debbie BeumerDepartments of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Charles B L MajoieAmsterdam Neuroscience Research Institute, Neurovascular disorders research programme, Amsterdam University Medical Centres, location Academic Medical Centre, Amsterdam, The Netherlands.
Diederik W J DippelDepartments of Neurology, Erasmus University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Aad van der LugtRadiology and Nuclear Medicine, Erasmus University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Robert J van OostenbruggeDepartments of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Wim H van ZwamRadiology and Nuclear Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands.
Yvo B RoosDepartment of Neurology, Amsterdam University Medical Centres, location Academic Medical Centre, Amsterdam, The Netherlands.
Marcel G W DijkgraafDepartment of Epidemiology and Data Science, Amsterdam University Medical Centres, location Academic Medical Centre, Amsterdam, The Netherlands.
MR CLEAN investigators
Amsterdam University Medical Centers · NLErasmus University Rotterdam · NLMaastricht University Medical Centre · NLAmsterdam Neuroscience · NLMaastricht University · NL

Funding

ZonMw 837004005
6 · The paper itself

Abstract

introductionEndovascular treatment (EVT) has been proven to be both effective and cost-effective for patients with acute ischaemic stroke. We investigated the budget impact of large-scale implementation of EVT for acute ischaemic stroke patients in the Netherlands for 2015-2021.

methodsAn analysis was performed from a healthcare perspective as a preplanned substudy of the Multicenter Randomized Clinical trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands (MR CLEAN). Estimated yearly costs during follow-up after stroke for patients who had or had not been treated with EVT as add-on to usual care were linked to numbers of new patients retrieved from 2 Dutch registries of EVT that started after the last inclusion in MR CLEAN (2014). Aggregated costs and costs per care sector were calculated based on prevalence using a population dynamic tool.

resultsFrom 2015, the yearly number of new acute ischaemic stroke patients receiving EVT increased almost threefold, from 812 in 2015 to 2,370 in 2021. The introduction of EVT plus usual care resulted in estimated net annual savings that increased from € 2.9 million in 2015 to € 58 million in 2021.

conclusionOffering EVT as add-on to usual care for acute ischaemic stroke patients was increasingly cost saving from a national healthcare perspective but affected distinct healthcare sectors differently.

Indexed as

Economic EvaluationEndovascular ProceduresIschaemic StrokeThrombectomy

Identifiers

PMID37171711
PMCPMC10188812
OpenAlexW4376224762

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.