October 10, 1992BMJOpen Access

Cost implications of the British Pacing and Electrophysiology Group's recommendations for pacing.

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Why the study?

What are the cost implications of implementing the British Pacing and Electrophysiology Group's recommendations for pacing compared to present practice?

Population

433 consecutive patients receiving permanent pacemaker generators, 82% older than 65 years, in a regional…

Comparison

Implementation of the British Pacing and… vs Present pacing practice (1991)

Design

Cohort

Authors

MBMark de BelderInterventional Cardiology NLNicholas J. LinkerJames Cook University SJSuzanne JonesQueen's University Belfast

Discussion

Member takes

Implication

Substantially higher costs with recommended generators; leaves open whether age- and activity-based selection of simpler systems can contain expenses.

Structured PICO

What are the cost implications of implementing the British Pacing and Electrophysiology Group's recommendations for pacing compared to present practice?

Population

433 consecutive patients receiving permanent pacemaker generators (18% sinus node disease, 62% atrioventricular block, 6% both, 14% chronic atrial fibrillation and AV block, 1% carotid sinus or malignant vasovagal syndromes), 82% older than 65 years, in a regional cardiothoracic unit.

Intervention

Implementation of the British Pacing and Electrophysiology Group's recommendations for pacing ('optimal' or 'alternative' systems)

Comparator

Present pacing practice (1991)

Outcome

Cost required to implement the group's recommendations based on average 1991 costs

Implementing the British Pacing and Electrophysiology Group's recommendations for pacing would lead to major increases in pacing costs, suggesting age and expected activity could be used to select simpler systems to contain costs.

Cite This Study

Belder et al. (1992) studied this question.

synapsesocial.com/papers/6a701eaa5d37378ac1dd2e22 https://doi.org/10.1136/bmj.305.6858.861

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Implication

Substantially higher costs with recommended generators; leaves open whether age- and activity-based selection of simpler systems can contain expenses.

Cost implications of the British Pacing and Electrophysiology Group's recommendations for pacing.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Cost implications of the British Pacing and Electrophysiology Group's recommendations for pacing.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider