Relative cost of coronary angioplasty and bypass surgery in a one-vessel disease model

Geun C. Jang, Peter C. Block, Michael J. Cowley, Andreas R. Gruentzig, Gerald Dorros, David Holmes, Kenneth M. Kent, Louis L. Leatherman, Richard K. Myler, S. Matts E. Sjolander, Simon H. Stertzer, George W. Vetrovec, William H. Willis, David O. Williams

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

A national study was carried out to determine the relative costs of PTCA and CABG. Baseline clinical criteria for the 2 groups were similar. Data were collected in 186 sets for the PTCA group and 175 sets for the CABG group. Male patients make up 81% of the PTCA group and 80% of the CABG group. Mean hospital stay was 12 ± 5 days in the CABG group, compared with 4 ± 2 days in the PTCA group (p < 0.001). The base charges for hospital and professional components of the CABG procedure were $15,580 ± $2,159, whereas the same charges for the PTCA procedure were $5,315 ± $2,159 (p < 0.001). With an 80% primary success rate, which was the group mean success rate, the average dollar savings per PTCA procedure would be $7,149, or $7,149,000 per 1,000 cases. Thus, PTCA for revascularization in 1-vessel CAD is significantly more cost-effective than CABG in the short term.

Original languageEnglish (US)
JournalThe American journal of cardiology
Volume53
Issue number12
DOIs
StatePublished - Jun 15 1984
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Jang, G. C., Block, P. C., Cowley, M. J., Gruentzig, A. R., Dorros, G., Holmes, D., Kent, K. M., Leatherman, L. L., Myler, R. K., Sjolander, S. M. E., Stertzer, S. H., Vetrovec, G. W., Willis, W. H., & Williams, D. O. (1984). Relative cost of coronary angioplasty and bypass surgery in a one-vessel disease model. The American journal of cardiology, 53(12). https://doi.org/10.1016/0002-9149(84)90746-X