Journals / Sakarya Tıp Dergisi / 2021 / Cilt: 11 - Sayı: 2

Treatment Cost Analysis Study In Patients with Atrial Fibrillation Using Warfarin or New Generation Oral Anticoagulant

Varfarin veya Yeni Nesil Oral Antikoagülan Kullanan Atriyal Fibrilasyonlu Hastalarda Tedavi Maliyetinin Analiz Çalışması

Pages
322–327
Publication Date
2021-06-29
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No statistical difference was observed in gender between patients, but patients using NOAC had a higher mean age (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective:We compared the cost analysis of warfarin and new-generation oral anticoagulant (NOAC) treatment in patients with atrial fibrillation.
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Key Findings & Data:Results: In the study group, 18.8% of the anticoagulant drug users were using warfarin, and 81.2% were using NOACs.
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Conclusion & Impact:No statistical difference was observed in gender between patients, but patients using NOAC had a higher mean age (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Yeni nesil oral antikoagülan · varfarin · maliyet analizi

Abstract

Objective:We compared the cost analysis of warfarin and new-generation oral anticoagulant (NOAC) treatment in patients with atrial fibrillation. Materials and Methods:Four hundred and ninety-four patients diagnosed with atrial fibrillation at the cardiology outpatient clinic (OC) and using warfarin or NOAC therapy were retrospectively included in the study.Comparison of the total cost of OC and examination fees paid by the social security institution; Fees related to hospitalizations due to hemorrhage caused by anticoagulants and anticoagulant drug cost were compared. Results: In the study group, 18.8% of the anticoagulant drug users were using warfarin, and 81.2% were using NOACs. The average number of admission to OC is more prevalent in patients using warfarin. No statistical difference was observed in gender between patients, but patients using NOAC had a higher mean age (p

Özet

Amaç: Atriyal fibrilasyonu olan hastalarda varfarin ve yeni nesil oral antikoagülan (NOAC) tedavisinin maliyet analizini karşılaştırdık. Gereç ve Yöntemler: Kardiyoloji polikliniğinden atriyal fibrilasyon tanısı alan, varfarin veya NOAC tedavisi kullanan 494 hasta retrospektif olarak çalışmaya dahil edildi. Poliklinik hizmet ücreti ,antikoagülanların neden olduğu kanama nedeniyle hastaneye yatış ücretleri ve antikoagülan ilaç maliyeti dahil edilerek Sosyal Güvenlik Kurumunca ödenen ücretlerin karşılaştırılması yapıldı. Bulgular: Çalışma grubunda antikoagülan ilaç kullanıcılarının %18.8'i varfarin, %81.2'si NOACs kullanıyordu. Varfarin kullanan hastalarda poliklinik muayene hizmet sayısı daha yüksekti. Hasta grupları arasında cinsiyet açısından istatistiksel bir fark görülmedi fakat NOAC kullanan hastalarda ortalama yaş daha yüksekti (p

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Cite This Article

AYDIN, E., KANT, A., ÖSKEN, A., ŞAHİNKUŞ, S., YAYLACI, S. (2021). Treatment Cost Analysis Study In Patients with Atrial Fibrillation Using Warfarin or New Generation Oral Anticoagulant. Sakarya Tıp Dergisi, Cilt: 11 - Sayı: 2, 322–327. https://ajindex.com/articles/261204

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References (9)

  1. Pistoia F, Sacco S, Tiseo C, Degan D, Ornello R, Carolei A. The Epidemiology of Atrial Fibrillation and Stroke. Cardiol Clin. 2016;34(2):255-68
  2. Uyarel H, Onat A, Yüksel H, Can G, Ordu S, Dursunoğlu D. Incidence, prevalence and mortality estimates for chronic atrial fibrillation in Turkish adults. Arch Turk Soc Cardiol. 2008;36:214–22
  3. Kirchhof P, Benussi S, Kotecha D, Ahlsson A, Atar D, Casadei B, et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur J Cardiothorac Surg. 2016;50(5):e1-e88
  4. Cavallari I, Patti G. Efficacy and safety of oral anticoagulation in elderly patients with atrial fibrillation. Anatol J Cardiol. 2018;19(1): 67–71
  5. Bobade RA, Helmers RA, Jaeger TM, Odell LJ, Haas DA, Kaplan RS. Time-driven activity-based cost analysis for outpatient anticoagulation therapy: direct costs in a primary care setting with optimal performance. Journal of Medical Economics. 2019;22(5): 471–477
  6. Shannon L. Reynolds, 1 Sameer R. Ghate,2 Richard Sheer,1 Pranav K. Gandhi,2 Chad Moretz,1 Cheng Wang,2 Stephen Sander,2 Mary E. Costantino,1 Srinivas Annavarapu,1 George Andrews3 Healthcare utilization and costs for patients initiating Dabigatran or Warfarin.DisclaimerHealth Qual Life Outcomes. 2017; 15: 128. 7)Varim P, Varim C, Ergenç H, Uyanık M, Yaylacı S, Vatan M, Gündüz H. ASSESSMENT OF WARFARIN TREATMENT EFFICACY BY MEANS; OF USING COAGULATION TEST RESULTS WITHIN THE THERAPEUTIC RANGE. Georgian Med News. 2016 Jun;(255):62-6. PMID: 27441538. 8)Kaya H, Ertaş F, Kaya Z, et al. Epidemiology, anticoagulant treatment and risk of thromboembolism in patients with valvular atrial fibrillation: Results from Atrial Fibrillation in Turkey: Epidemiologic Registry (AFTER). Cardiol J 2014; 21: 158-62
  7. Nieuwlaat R, Connolly BJ, Hubers LM, et al. ACTIVE Investigators. Quality of individual INR control and the risk of stroke and bleeding events in atrial fibrillation patients: a nested case control analysis of the ACTIVE W study. Thromb Res 2012; 129: 715-719 10)Sorensen SV, Dewilde S, Singer DE, Goldhaber SZ, Monz BU, Plumb JM. Cost-effectiveness of warfarin: Trialversus"real-world" stroke prevention in atrial fibrillation. American HeartJournal. 2009;157(6): 1064-73
  8. Canestaro WJ, Patrick AR, Avorn J, Ito K, Matlin OS, Brennan TA, et al. Cost-effectiveness of oral anticoagulants for treatment of atrial fibrillation. Circ Cardiovasc Qual Outcomes. 2013;6:724-731
  9. Lip G, Keshishian A, Li X, Ha