Key result
The April 2002 reduction in the price of percutaneous coronary intervention devices resulted in an estimated 7% reduction in total in-hospital costs.
Why the study?
Does the April 2002 reduction in PCI device prices in Japan significantly reduce total in-hospital medical expenses?
Observational (n=22)
No
Does the April 2002 reduction in PCI device prices in Japan significantly reduce total in-hospital medical expenses?
Effect estimate: 7% reduction
Absolute Event Rate: 1355812% vs 1456375%
Although the April 2002 price reduction of PCI devices in Japan decreased in-hospital costs by 7%, devices remain significantly more expensive than in the USA, highlighting the need for further price reductions to improve cost-effectiveness.
Supports device price reductions to lower PCI costs; leaves open whether further cuts would close international gaps.
Percutaneous coronary intervention (PCI) devices are much more expensive in Japan than in the United States, but their prices were reduced in April 2002. This study evaluated the impact of that change in the price of PCI devices on medical expenses. In-hospital costs of 22 consecutive patients who underwent elective single-vessel PCI without a debulking procedure before April 2002 were collected and the in-hospital cost of each patient was recalculated by applying the current prices of the PCI devices and those in the USA. For patients treated with PCI before April 2002, the in-hospital cost was 1,456,375+/-358,781 yen, but when the current price is used, the in-hospital cost is estimated to be 1,355,812 +/-313,237 yen (7% reduction). If the prices of the devices were reduced to those in USA, there would be a 53% reduction (689,417 +/-99,139 yen). Although the change in the price of PCI devices in April 2002 has reduced in-hospital costs, the devices are still much more expensive in Japan than in the USA. Further reduction of the price is required to make PCI more cost-effective.
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Kuroda et al. (2003) conducted an observational in Coronary artery disease requiring percutaneous coronary intervention (n=22). April 2002 PCI device price reduction vs. Previous PCI device prices (before April 2002) was evaluated on In-hospital cost (7% reduction). The April 2002 reduction in the price of percutaneous coronary intervention devices resulted in an estimated 7% reduction in total in-hospital costs.
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