Journal article

Public Health and Cost Benefits of Successful Reperfusion After Thrombectomy for Stroke

Wolfgang G Kunz, Mohammed A Almekhlafi, Bijoy K Menon, Jeffrey L Saver, Myriam G Hunink, Diederik WJ Dippel, Charles BLM Majoie, David S Liebeskind, Tudor G Jovin, Antoni Davalos, Serge Bracard, Francis Guillemin, Bruce CV Campbell, Peter J Mitchell, Philip White, Keith W Muir, Scott Brown, Andrew M Demchuk, Michael D Hill, Mayank Goyal

Stroke | LIPPINCOTT WILLIAMS & WILKINS | Published : 2020

Abstract

Background and Purpose- The benefit that endovascular thrombectomy offers to patients with stroke with large vessel occlusions depends strongly on reperfusion grade as defined by the expanded Thrombolysis in Cerebral Infarction (eTICI) scale. Our aim was to determine the lifetime health and cost consequences of the quality of reperfusion for patients, healthcare systems, and society. Methods- A Markov model estimated lifetime quality-adjusted life years (QALY) and lifetime costs of endovascular thrombectomy-treated patients with stroke based on eTICI grades. The analysis was performed over a lifetime horizon in a United States setting, adopting healthcare and societal perspectives. The refer..

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