Stefan W Koester, Joshua S Catapano, Brandon K Hoglund, Joelle N Hartke, Anant Naik, Elsa Nico, Ashia M Hackett, Ethan A Winkler, Michael T Lawton, Andrew F Ducruet, Felipe C Albuquerque, Ashutosh P Jadhav
{"title":"Supply cost bundling in acute ischemic stroke treatment","authors":"Stefan W Koester, Joshua S Catapano, Brandon K Hoglund, Joelle N Hartke, Anant Naik, Elsa Nico, Ashia M Hackett, Ethan A Winkler, Michael T Lawton, Andrew F Ducruet, Felipe C Albuquerque, Ashutosh P Jadhav","doi":"10.1136/jnis-2024-021560","DOIUrl":null,"url":null,"abstract":"In 2019, according to Global Burden of Disease Study estimates, there were 12.2 million incident cases of stroke; stroke remained the second leading cause of death globally, accounting for 11.6% of total deaths, and was the third leading cause of death and disability combined.1 In addition, stroke has significant economic impacts. The global burden of stroke was estimated to be US$891 billion in 2017.2 In the United States, the mean lifetime cost of stroke has been estimated to be US$140048.3 Strokes are also associated with a considerable financial burden in lower- and middle-income countries, with the average direct costs of stroke care estimated to be US$8424 in Nigeria, US$5230 in Pakistan, and US$3626 in China.4 Accordingly, novel cost-reduction strategies for stroke care might have a particularly substantial effect in lower- and middle-income countries, where resources are constrained. Mechanical thrombectomy is the standard of care for anterior circulation large vessel occlusions and is increasingly used for posterior circulation large vessel occlusions.5 6 To ameliorate the costs of this procedure, manufacturer-driven bundling programs have been developed in which all of the necessary devices are purchased together, as opposed to each device being purchased individually (ie, à la carte).7 These programs were previously shown to be cost-effective for stroke care in a study by Munich et al that demonstrated an average savings per case of US$2900.93.7 Because only one previous study has demonstrated the effect of bundling programs on the cost for stroke care, there is a need for further investigation of this topic. Therefore, we performed a retrospective chart review to assess the efficacy of bundling costs for instruments used in mechanical thrombectomy at a high-volume stroke center. A retrospective review of all patients who underwent a mechanical thrombectomy at a single comprehensive stroke center (St. Joseph’s …","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":null,"pages":null},"PeriodicalIF":4.5000,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of NeuroInterventional Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/jnis-2024-021560","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NEUROIMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
In 2019, according to Global Burden of Disease Study estimates, there were 12.2 million incident cases of stroke; stroke remained the second leading cause of death globally, accounting for 11.6% of total deaths, and was the third leading cause of death and disability combined.1 In addition, stroke has significant economic impacts. The global burden of stroke was estimated to be US$891 billion in 2017.2 In the United States, the mean lifetime cost of stroke has been estimated to be US$140048.3 Strokes are also associated with a considerable financial burden in lower- and middle-income countries, with the average direct costs of stroke care estimated to be US$8424 in Nigeria, US$5230 in Pakistan, and US$3626 in China.4 Accordingly, novel cost-reduction strategies for stroke care might have a particularly substantial effect in lower- and middle-income countries, where resources are constrained. Mechanical thrombectomy is the standard of care for anterior circulation large vessel occlusions and is increasingly used for posterior circulation large vessel occlusions.5 6 To ameliorate the costs of this procedure, manufacturer-driven bundling programs have been developed in which all of the necessary devices are purchased together, as opposed to each device being purchased individually (ie, à la carte).7 These programs were previously shown to be cost-effective for stroke care in a study by Munich et al that demonstrated an average savings per case of US$2900.93.7 Because only one previous study has demonstrated the effect of bundling programs on the cost for stroke care, there is a need for further investigation of this topic. Therefore, we performed a retrospective chart review to assess the efficacy of bundling costs for instruments used in mechanical thrombectomy at a high-volume stroke center. A retrospective review of all patients who underwent a mechanical thrombectomy at a single comprehensive stroke center (St. Joseph’s …
期刊介绍:
The Journal of NeuroInterventional Surgery (JNIS) is a leading peer review journal for scientific research and literature pertaining to the field of neurointerventional surgery. The journal launch follows growing professional interest in neurointerventional techniques for the treatment of a range of neurological and vascular problems including stroke, aneurysms, brain tumors, and spinal compression.The journal is owned by SNIS and is also the official journal of the Interventional Chapter of the Australian and New Zealand Society of Neuroradiology (ANZSNR), the Canadian Interventional Neuro Group, the Hong Kong Neurological Society (HKNS) and the Neuroradiological Society of Taiwan.