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Assessing the economic attractiveness of coronary artery revascularization in chronic kidney disease patients.

Publication ,  Journal Article
Eisenstein, EL; Sun, JL; Anstrom, KJ; DeLong, ER; Szczech, LA; Mark, DB
Published in: J Med Syst
August 2009

Chronic kidney disease (CKD) is associated with increased morbidity and mortality in coronary artery disease (CAD) patients. We compared the economic attractiveness of CAD revascularization procedures in patients with and without CKD. Our population included 6218 patients with significant CAD undergoing cardiac catheterization at Duke University between 1996 and 2001, with follow-up through 2002. We investigated the influence of CKD (creatinine clearance < 60 mL/min) upon 3-year survival and medical costs in our CAD population. Coronary artery bypass graft (CABG) surgery was an economically attractive alternative vs. percutaneous coronary intervention (PCI) or medical therapy for all patients with left main disease, three-vessel CAD patients without CKD, and two-vessel CAD patients with CKD. Medical therapy was an economically attractive strategy vs. CABG surgery or PCI for three-vessel CAD patients with CKD, two-vessel CAD patients without CKD, and all single-vessel CAD patients.

Duke Scholars

Published In

J Med Syst

DOI

ISSN

0148-5598

Publication Date

August 2009

Volume

33

Issue

4

Start / End Page

287 / 297

Location

United States

Related Subject Headings

  • Survival Analysis
  • Renal Insufficiency, Chronic
  • North Carolina
  • Myocardial Revascularization
  • Middle Aged
  • Medical Informatics
  • Male
  • Humans
  • Health Care Costs
  • Female
 

Citation

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Eisenstein, E. L., Sun, J. L., Anstrom, K. J., DeLong, E. R., Szczech, L. A., & Mark, D. B. (2009). Assessing the economic attractiveness of coronary artery revascularization in chronic kidney disease patients. J Med Syst, 33(4), 287–297. https://doi.org/10.1007/s10916-008-9190-4
Eisenstein, Eric L., Jie L. Sun, Kevin J. Anstrom, Elizabeth R. DeLong, Lynda A. Szczech, and Daniel B. Mark. “Assessing the economic attractiveness of coronary artery revascularization in chronic kidney disease patients.J Med Syst 33, no. 4 (August 2009): 287–97. https://doi.org/10.1007/s10916-008-9190-4.
Eisenstein EL, Sun JL, Anstrom KJ, DeLong ER, Szczech LA, Mark DB. Assessing the economic attractiveness of coronary artery revascularization in chronic kidney disease patients. J Med Syst. 2009 Aug;33(4):287–97.
Eisenstein, Eric L., et al. “Assessing the economic attractiveness of coronary artery revascularization in chronic kidney disease patients.J Med Syst, vol. 33, no. 4, Aug. 2009, pp. 287–97. Pubmed, doi:10.1007/s10916-008-9190-4.
Eisenstein EL, Sun JL, Anstrom KJ, DeLong ER, Szczech LA, Mark DB. Assessing the economic attractiveness of coronary artery revascularization in chronic kidney disease patients. J Med Syst. 2009 Aug;33(4):287–297.
Journal cover image

Published In

J Med Syst

DOI

ISSN

0148-5598

Publication Date

August 2009

Volume

33

Issue

4

Start / End Page

287 / 297

Location

United States

Related Subject Headings

  • Survival Analysis
  • Renal Insufficiency, Chronic
  • North Carolina
  • Myocardial Revascularization
  • Middle Aged
  • Medical Informatics
  • Male
  • Humans
  • Health Care Costs
  • Female