Evidence map›Paper›PMID 37814470›Full record

ArticleJournal of cardiovascular electrophysiology2023

Cost-effectiveness analysis of leadless cardiac resynchronization therapy.

Nadeev Wijesuriya, Vishal Mehta, Felicity De Vere, Sandra Howell, Jonathan M Behar, Andrew Shute, Michael Lee, Paolo Bosco, Steven A Niederer, Christopher A Rinaldi

Open access · hybridAbstract read
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Cost-effectiveness analysis of leadless cardiac resynchronization therapy.Journal of cardiovascular electrophysiology · 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

10 authors at 3 institutions in 2 countries.

Nadeev WijesuriyaSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.ORCID 0000-0001-7893-0708
Vishal MehtaSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.ORCID 0000-0001-6140-068X
Felicity De VereSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Sandra HowellSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Jonathan M BeharSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Andrew ShuteEBR Systems Inc, Sunnyvale, California, USA.
Michael LeeEBR Systems Inc, Sunnyvale, California, USA.
Paolo BoscoDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Steven A NiedererSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Christopher A RinaldiSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
King's College London · GBIntegrated Systems Incorporation (United States) · USGuy's and St Thomas' NHS Foundation Trust · GB

Funding

Using Atrial Mechanics To Identify Fibrosis In Patients with Atrial FibrillationR01HL152256 · NHLBI · STANFORD UNIVERSITY · PI ENNIS, DANIEL B · 2020 to 2023
$2.8M
British Heart Foundation FS/CRTF/22/24362British Heart Foundation PG/13/37/30280British Heart Foundation PG/15/91/31812British Heart Foundation SP/18/6/33805European Research Council ERC PREDICT-HF 864055NHLBI NIH HHS R01 HL152256Wellcome Trust
6 · The paper itself

Abstract

backgroundThe Wireless Stimulation Endocardially for CRT (WiSE-CRT) system is a novel technology used to treat patients with dyssynchronous heart failure (HF) by providing leadless cardiac resynchronization therapy (CRT). Observational studies have demonstrated its safety and efficacy profile, however, the treatment cost-effectiveness has not previously been examined.

methodsA cost-effectiveness evaluation of the WiSE-CRT System was performed using a cohort-based economic model adopting a "proportion in state" structure. In addition to the primary analysis, scenario analyses and sensitivity analyses were performed to test for uncertainty in input parameters. Outcomes were quantified in terms of quality-adjusted life year (QALY) differences.

resultsThe primary analysis demonstrated that treatment with the WiSE-CRT system is likely to be cost-effective over a lifetime horizon at a QALY reimbursement threshold of £20 000, with a net monetary benefit (NMB) of £3781 per QALY. Cost-effectiveness declines at time horizons shorter than 10 years. Sensitivity analyses demonstrated that average system battery life had the largest impact on potential cost-effectiveness.

conclusionWithin the model limitations, these findings support the use of WiSE-CRT in indicated patients from an economic standpoint. However, improving battery technology should be prioritized to maximize cost-effectiveness in times when health services are under significant financial pressures.

Indexed as

Cardiac Resynchronization TherapyHeart FailureCost-Effectiveness AnalysisHumansTreatment Outcomebiventricular pacing/defibrillationpacemaker-bradyarrhythmias

Identifiers

PMID37814470
PMCPMC10946454
OpenAlexW4387472985

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.