Evidence map›Paper›PMID 38349225›Full record

ArticleEuropean heart journal. Acute cardiovascular care2024

Modelling costs of interventional pulmonary embolism treatment: implications of US trends for a European healthcare system.

Katharina Mohr, Brent Keeling, Klaus Kaier, Thomas Neusius, Rachel P Rosovsky, John M Moriarty, Kenneth Rosenfield, Christina Abele, Ioannis T Farmakis, Karsten Keller and 13 more

Abstract read
In one paragraph

Article in European heart journal. Acute cardiovascular care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Pulmonary Embolism in the United States: A Report From the National PERT Consortium.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Article
  4. Article
  5. Drivers and recent trends of hospitalisation costs related to acute pulmonary embolism.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  6. Review
  7. Article
  8. Time trends of catheter-directed treatment in acute pulmonary embolism in Germany.Research and practice in thrombosis and haemostasis · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. 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

23 authors.

Katharina MohrCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0009-0000-5718-0549
Brent KeelingDivision of Cardiothoracic Surgery, Emory University Hospital, Atlanta, GA, USA.
Klaus KaierInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Thomas NeusiusWiesbaden Business School, RheinMain University of Applied Sciences, Wiesbaden, Germany.ORCID 0000-0002-5097-9064
Rachel P RosovskyDivision of Hematology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-2392-7365
John M MoriartyDivision of Interventional Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.ORCID 0000-0001-8108-520X
Kenneth RosenfieldDivision of Cardiology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-5633-6983
Christina AbeleCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0002-1991-0587
Ioannis T FarmakisCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0002-0586-6386
Karsten KellerCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0002-0820-9584
Stefano BarcoCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0002-2618-347X
Richard N ChannickPulmonary and Critical Care Division, David Geffen School of Medicine, Los Angeles, CA, USA.ORCID 0000-0002-9016-4468
Jay S GiriDepartment of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-8076-0098
Robert A LooksteinDepartment of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Thomas M TodoranMedical University of South Carolina, Charleston, SC, USA.ORCID 0000-0003-1815-5943
Konstantinos C ChristodoulouCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.
Lukas HobohmCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0002-4312-0366
Michelle LannoThe PERT Consortium™, Nashua, NH, USA.
Jamie ReedThe PERT Consortium™, Nashua, NH, USA.
Harald BinderInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Stavros V KonstantinidesCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0001-6359-7279
Luca ValerioCenter for Thrombosis and Hemostasis (CTH), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0003-4466-0724
Eric A SecemskyDivision of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID 0000-0003-3861-3163

Funding

Shared Decision-Making to Improve the Health Status of Patients with Claudication: Developing and Implementing Strategies to Individualize Treatment DecisionsK23HL150290 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SECEMSKY, ERIC ALEXANDER · 2020 to 2024
$851k
NHLBI NIH HHS K23 HL150290University Medical Centre Mainz
6 · The paper itself

Abstract

aimsCatheter-directed treatment (CDT) of acute pulmonary embolism (PE) is entering a growth phase in Europe following a steady increase in the USA in the past decade, but the potential economic impact on European healthcare systems remains unknown. METHODS AND

resultsWe built two statistical models for the monthly trend of proportion of CDT among patients with severe (intermediate- or high-risk) PE in the USA. The conservative model was based on admission data from the National Inpatient Sample (NIS) 2016-20 and the model reflecting increasing access to advanced treatment from the PERT™ national quality assurance database registry 2018-21. By applying these models to the forecast of annual PE-related hospitalizations in Germany, we calculated the annual number of severe PE cases and the expected increase in CDT use for the period 2025-30. The NIS-based model yielded a slow increase, reaching 3.1% (95% confidence interval 3.0-3.2%) among all hospitalizations with PE in 2030; in the PERT-based model, increase would be steeper, reaching 8.7% (8.3-9.2%). Based on current reimbursement rates, we estimated an increase of annual costs for PE-related hospitalizations in Germany ranging from 15.3 to 49.8 million euros by 2030. This calculation does not account for potential cost savings, including those from reduced length of hospital stay.

conclusionOur approach and results, which may be adapted to other European healthcare systems, provide a benchmark for healthcare costs expected to result from CDT. Data from ongoing trials on clinical benefits and cost savings are needed to determine cost-effectiveness and inform reimbursement decisions.

Indexed as

Pulmonary EmbolismDelivery of Health CareEuropeFemaleGermanyHealth Care CostsHospitalizationHumansMaleMiddle AgedRegistriesUnited StatesCatheter-directed treatmentCost of illnessEconomic impactHospitalization costsPulmonary embolism

Identifiers

PMID38349225
PMCPMC11214584

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.