Hospital costs of Balloon Pulmonary Angioplasty (BPA) procedure and management for CTEPH patients: An observational study based on the French national hospital discharge database (PMSI) - Archive ouverte HAL Access content directly
Journal Articles PLoS ONE Year : 2021

Hospital costs of Balloon Pulmonary Angioplasty (BPA) procedure and management for CTEPH patients: An observational study based on the French national hospital discharge database (PMSI)

(1) , (2) , (3) , (3) , (2) , (2) , (3) , (4) , (5) , (6)
1
2
3
4
5
6
Lionel Bensimon
  • Function : Author
Fanny Raguideau
Gwendoline Chaize
  • Function : Author
Antoinette Hakmé
  • Function : Author
Laurie Levy-Bachelot
  • Function : Author
Alexandre Vainchtock
  • Function : Author
Jean Dallongeville
  • Function : Author

Abstract

Introduction Since 2014, Balloon Pulmonary Angioplasty (BPA) has become an emerging and complementary strategy for chronic thromboembolic hypertension (CTEPH) patients who are not suitable for pulmonary endarterectomy (PEA) or who have recurrent symptoms after the PEA procedure. Objective To assess the hospital cost of BPA sessions and management in CTEPH patients. Methods An observational retrospective cohort study of CTEPH-adults hospitalized for a BPA between January 1st, 2014 and June 30th, 2016 was conducted in the 2 centres performing BPA in France (Paris Sud and Grenoble) using the French national hospital discharge database (PMSI-MCO). Patients were followed until 6 months or death, whichever occurred first. Follow-up stays were classified as stays with BPA sessions, for BPA management or for CTEPH management based on a pre-defined algorithm and a medical review using type of diagnosis (ICD-10), delay from last BPA procedure stay and length of stay. Hospital costs (including medical transports) were estimated from National Health Insurance perspective using published official French tariffs from 2014 to 2016 and expressed in 2017 Euros. Results A total of 191 patients were analysed; mainly male (53%), with a mean age of 64,3 years. The first BPA session was performed 1.1 years in median (IQR 0.3–2.92) after the first PH hospitalisation. A mean of 3 stays with BPA sessions per patient were reported with a mean length of stay of 8 days for the first stay and 6 days for successive stays. The total hospital cost attributable to BPA was € 4,057,825 corresponding to €8,764±3,435 per stay and €21,245±12,843 per patient. Results were sensitive to age classes, density of commune of residence and some comorbidities. Conclusions The study generated robust real-world data to assess the hospital cost of BPA sessions and management in CTEPH patients within its first years of implementation in France.

Dates and versions

hal-03717972 , version 1 (08-07-2022)

Licence

Attribution - CC BY 4.0

Identifiers

Cite

Vincent Cottin, Lionel Bensimon, Fanny Raguideau, Gwendoline Chaize, Antoinette Hakmé, et al.. Hospital costs of Balloon Pulmonary Angioplasty (BPA) procedure and management for CTEPH patients: An observational study based on the French national hospital discharge database (PMSI). PLoS ONE, 2021, 16 (12), pp.e0260483. ⟨10.1371/journal.pone.0260483⟩. ⟨hal-03717972⟩
35 View
0 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More