Ventetid og omkostninger ved diagnostik og behandling af stabil angina pectoris: et pilotstudium

Translated title of the contribution: Waiting time and costs of the diagnostics and treatment regimens for stable angina pectoris: a pilot study

Rikke Søgaard, Ricardo Sanchez

Research output: Book/reportReportResearch

Abstract

Introduction: The objective of this pilot study was to examine possible consequences of a logistically non-optimal regimen, for the diagnosis and treatment of stable angina pectoris, on waiting time and costs to inform whether a larger study is warranted.
Material and methods: Retrospective cohort study among 104 consecutive patients referred on suspected stable angina pectoris. Data on the diagnostic regimen was systematically collected from patient files and data on other resource use was collected using a questionnaire for self- reporting. Non-parametric bootstrapping was applied.
Results: Separate angiography (AG) and percutaneous coronary intervention (PCI) rather than combined procedures was associated with a significantly prolonged time to treatment, of on average 14 days, and increased costs of DKK 11,338 (95% KI 9,160;13,515). Similarly, re- referral rather than procedures being conducted at the centre to which the first referral was addressed was associated with significantly longer time to treatment, of on average 22 days, and increased costs of DKK 9,379 (95% KI 6,477;12,281).
Conclusion: There seems to be a potential for optimizing the regimen for diagnosis and treatment of stable angina pectoris, which ceteris paribus would be associated with cost savings in the health care sector. However, these potentials should be examined in a larger- scale study.
Translated title of the contributionWaiting time and costs of the diagnostics and treatment regimens for stable angina pectoris: a pilot study
Original languageDanish
Place of PublicationOdense
PublisherCAST - Center for Anvendt Sundhedstjenesteforskning og Teknologivurdering, SDU
ISBN (Print)978-87-92699-00-8
ISBN (Electronic)978-87-92699-00-8
Publication statusPublished - 2010

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