Why the study?
The study was designed to determine the maximum cost-effective investment in TAVI care that should be made at a health system level to meet quality indicator goals.
Do hypothetical strategies meeting TAVI quality indicator targets improve cost-effectiveness and clinical outcomes compared to current TAVI care in patients with severe aortic stenosis?
Population
Patients with severe aortic stenosis in a probabilistic patient-level simulation
Comparison
4 hypothetical strategies meeting quality indicator targets vs current TAVI care
Design
Cost-utility analysis using probabilistic patient-level simulation
Follow-up
2-year time horizon
Authors
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Modest TAVI quality investments may be cost-effective; leaves open optimal incentive design and generalizability.
Do hypothetical strategies meeting TAVI quality indicator targets improve cost-effectiveness and clinical outcomes compared to current TAVI care in patients with severe aortic stenosis?
Meeting quality improvement goals in TAVI care requires a modest annual investment but provides substantial clinical benefits and is cost-effective.
Peel et al. (2022) studied this question.