학술논문

Device runtime and costs of cardiac resynchronization therapy pacemakers – a health claims data analysis
Document Type
article
Source
GMS German Medical Science, Vol 20, p Doc02 (2022)
Subject
cardiac resynchronization therapy
device longevity
device runtime
battery runtime
health claims data
Medicine
Language
German
English
ISSN
1612-3174
Abstract
Introduction: This study investigates the runtime and costs of biventricular defibrillators (CRT-D) and biventricular pacemakers (CRT-P). Accurate estimates of cardiac resynchronization therapy (CRT) device runtime across all manufactures are rare, especially for CRT-P.Methods: Health claims data of a large nationwide German health insurance was used to analyze CRT device runtime. We defined device runtime as the time between the date of implantation and the date of generator change or removal. The median costs for implantation, change, and removal of a CRT device were calculated accordingly.Results: In total, the data set comprises 17,826 patients. A total of 4,296 complete runtimes for CRT-D devices and 429 complete runtimes for CRT-P devices were observed. Median device runtime was for CRT-D devices and 8.16 years for CRT-P devices (log-rank test p