Assessing the Impact of Hemodynamic Monitoring with CardioMEMS on Heart Failure Patients: A Cost-Benefit Analysis

Pau Codina; Jose Angel Vicente Gómez; Guillem Hernández Guillamet; Laura Ricou Ríos; Andrea Carrete; Victoria Vilalta; Oriol Estrada; Jordi Ara; Josep Lupón; Antoni Bayés-Genís; Francesc López Seguí

doi:10.20944/preprints202301.0116.v2

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preprints.org > medicine and pharmacology > cardiac and cardiovascular systems > doi: 10.20944/preprints202301.0116.v2

Preprint Article Version 2 Preserved in Portico This version is not peer-reviewed

Assessing the Impact of Hemodynamic Monitoring with CardioMEMS on Heart Failure Patients: A Cost-Benefit Analysis

Pau Codina

Jose Angel Vicente Gómez

Guillem Hernández Guillamet

Version 1 : Received: 3 January 2023 / Approved: 6 January 2023 / Online: 6 January 2023 (04:41:21 CET)
Version 2 : Received: 17 September 2023 / Approved: 18 September 2023 / Online: 19 September 2023 (05:23:15 CEST)

How to cite: Codina, P.; Vicente Gómez, J.A.; Hernández Guillamet, G.; Ricou Ríos, L.; Carrete, A.; Vilalta, V.; Estrada, O.; Ara, J.; Lupón, J.; Bayés-Genís, A.; López Seguí, F. Assessing the Impact of Hemodynamic Monitoring with CardioMEMS on Heart Failure Patients: A Cost-Benefit Analysis. Preprints 2023, 2023010116. https://doi.org/10.20944/preprints202301.0116.v2 Codina, P.; Vicente Gómez, J.A.; Hernández Guillamet, G.; Ricou Ríos, L.; Carrete, A.; Vilalta, V.; Estrada, O.; Ara, J.; Lupón, J.; Bayés-Genís, A.; López Seguí, F. Assessing the Impact of Hemodynamic Monitoring with CardioMEMS on Heart Failure Patients: A Cost-Benefit Analysis. Preprints 2023, 2023010116. https://doi.org/10.20944/preprints202301.0116.v2

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MDPI and ACS Style

Codina, P.; Vicente Gómez, J.A.; Hernández Guillamet, G.; Ricou Ríos, L.; Carrete, A.; Vilalta, V.; Estrada, O.; Ara, J.; Lupón, J.; Bayés-Genís, A.; López Seguí, F. Assessing the Impact of Hemodynamic Monitoring with CardioMEMS on Heart Failure Patients: A Cost-Benefit Analysis. Preprints 2023, 2023010116. https://doi.org/10.20944/preprints202301.0116.v2

APA Style

Codina, P., Vicente Gómez, J.A., Hernández Guillamet, G., Ricou Ríos, L., Carrete, A., Vilalta, V., Estrada, O., Ara, J., Lupón, J., Bayés-Genís, A., & López Seguí, F. (2023). Assessing the Impact of Hemodynamic Monitoring with CardioMEMS on Heart Failure Patients: A Cost-Benefit Analysis. Preprints. https://doi.org/10.20944/preprints202301.0116.v2

Chicago/Turabian Style

Codina, P., Antoni Bayés-Genís and Francesc López Seguí. 2023 "Assessing the Impact of Hemodynamic Monitoring with CardioMEMS on Heart Failure Patients: A Cost-Benefit Analysis" Preprints. https://doi.org/10.20944/preprints202301.0116.v2

Abstract

Aims: The objective of this study was to assess the cost-effectiveness of the CardioMEMS HF system in a HF Clinic in Spain by evaluating the real-time remote monitoring of pulmonary artery pressures, which has shown to reduce heart failure (HF) related hospitalizations and improve the quality of life for selected HF patients. Particularly, the study aimed to determine the value of CardioMEMS in Southern Europe, where healthcare costs are significantly lower and its effectiveness remains uncertain. Methods: This single-centre study enrolled all consecutive HF patients who had been implanted with a pulmonary artery pressure sensor (CardioMEMS-HF system, Abbott Laboratories, Abbott Park, IL, USA). The number of HF hospitalizations in the year before and the year after the sensor implantation was compared and quality-adjusted life years (QALY) gained based on a literature review of previous studies was calculated. Results: The rate of HF hospitalisations was significantly lower at 1 year compared with the year before CardioMEMS implantation (0.25 versus 1.10 events/patient-years, HR 0.22, p=0.001). At the end of first year, the usual management outperformed the CardioMEMS HF system, resulting in a net monetary value difference of 2,540€ per patient and a benefit-cost ratio of 0.38. However, by the end of the second year, the CardioMEMS system is estimated to reduce costs compared to usual management. Conclusions: Based on the results, we suggest that remote monitoring of pulmonary artery pressure with the CardioMEMS HF system represents a long-term cost-effective strategy in a healthcare setting in Southern Europe.

Keywords

cost-effectiveness evaluation; heart failure; telemonitoring; pulmonary artery pressure; hemodynamic monitoring

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Comments (1)

Comment 1

Received: 19 September 2023
Commenter: Jose Angel Vicente Gómez
Commenter's Conflict of Interests: Author

Comment: Changes in methodology: from cost-effectiveness to cost-benefit, changes in the control population

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