Review
Cardiac & Cardiovascular Systems
Sylvain Ploux, Marc Strik, Niraj Varma, Romain Eschalier, Pierre Bordachar
Summary: Remote monitoring for pacemakers has been in use for two decades and, although well received by patients, is still considered non-essential by some. However, it provides early detection of complications and reduces the risk of hospitalization and death, making it necessary for pacemakers.
ARCHIVES OF CARDIOVASCULAR DISEASES
(2021)
Article
Medicine, General & Internal
Tufia C. Haddad, Jordan D. Coffey, Yihong Deng, Amy E. Glasgow, Laura A. Christopherson, Lindsey R. Sangaralingham, Sarah J. Bell, Vishal P. Shah, Joshua C. Pritchett, Robert Orenstein, Leigh L. Speicher, Michael J. Maniaci, Ravindra Ganesh, Bijan J. Borah
Summary: This study evaluated the care utilization, cost, and mortality of high-risk patients enrolled in a remote patient monitoring program for COVID-19. The results showed that patients who engaged with the program experienced lower rates of hospitalization, intensive care unit admission, mortality, and cost compared to those who were enrolled but did not engage.
MAYO CLINIC PROCEEDINGS
(2022)
Article
Medicine, General & Internal
Christopher L. Mosher, Michael G. Nanna, Oliver K. Jawitz, Vignesh Raman, Norma E. Farrow, Samia Aleem, Richard Casaburi, Neil R. MacIntyre, Scott M. Palmer, Evan R. Myers
Summary: This economic evaluation study found that pulmonary rehabilitation after hospitalization for chronic obstructive pulmonary disease (COPD) can result in cost savings and improve quality of life. These findings emphasize the need to develop policies to increase access and adherence to pulmonary rehabilitation for patients with COPD.
Article
Cardiac & Cardiovascular Systems
Ariane M. Fraiche, Daniel D. Matlock, Wilanda Gabriel, Faith-Anne Rapley, Daniel B. Kramer
Summary: This study revealed differing perceptions among clinicians and patients regarding familiarity, educational experiences, and preferences in handling remote monitoring data for cardiovascular implantable devices. Key issues identified include knowledge and understanding, managing alerts, and cost transparency. Despite high levels of trust in the technology, important knowledge gaps and conflicting views persist.
AMERICAN JOURNAL OF CARDIOLOGY
(2021)
Article
Endocrinology & Metabolism
Anthony J. Pease, Sophia Zoungas, Emily Callander, Timothy W. Jones, Stephanie R. Johnson, D. Jane Holmes-Walker, David E. Bloom, Elizabeth A. Davis, Ella Zomer
Summary: This research evaluated the cost-effectiveness of the Continuous Glucose Monitoring (CGM) Initiative in Australia, which provides subsidized access to CGM for people with type 1 diabetes under 21 years old. The study found that providing government-subsidized CGM was cost-effective compared to a completely user-funded model.
Article
Geriatrics & Gerontology
Magnus Nord, Johan Lyth, Jan Marcusson, Jenny Alwin
Summary: This study examines the cost-effectiveness of a pragmatic trial of comprehensive geriatric assessment in primary care compared to usual care. The results suggest that the intervention is cost-effective at the 24-month follow-up, and the use of a prediction model to select participants and a low-cost intervention shows promise but requires further study.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Review
Medicine, General & Internal
Giuseppe Boriani, Jacopo F. Imberti, Niccolo Bonini, Cosimo Carriere, Davide A. Mei, Massimo Zecchin, Francesca Piccinin, Marco Vitolo, Gianfranco Sinagra
Summary: This review focuses on heart failure (HF) and its association with hospitalizations and adverse cardiovascular outcomes. The development of systems to monitor cardiac function aims to detect subclinical changes in order to prevent worsening HF. Patient-specific parameters can be remotely monitored through cardiac implantable electronic devices (CIED) and used to predict patients' risk of worsening HF. The review discusses the best diagnostic pathway for HF patients after a CIED alert and the role of healthcare professionals involved in HF patient management.
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Hiroshi Kawakami, Makoto Saito, Tomoki Fujisawa, Takayuki Nagai, Kazuhisa Nishimura, Yusuke Akazawa, Toru Miyoshi, Akinori Higaki, Fumiyasu Seike, Haruhiko Higashi, Katsuji Inoue, Shuntaro Ikeda, Osamu Yamaguchi
Summary: This study assessed the cost-effectiveness of remote monitoring (RM) compared to conventional follow-up (CFU) in Japanese patients with pacemakers. The results showed that RM was more effective but more expensive than CFU. RM was found to be a cost-effective option for Japanese patients, especially those with high CHADS2 scores and long intervals between office visits.
JOURNAL OF CARDIOLOGY
(2023)
Article
Hematology
Lisette F. van Dam, Wilbert B. van den Hout, Gargi Gautam, Charlotte E. A. Dronkers, Waleed Ghanima, Jostein Gleditsch, Anders von Heijne, Herman M. A. Hofstee, Marcel M. C. Hovens, Menno Huisman, Stan Kolman, Albert T. A. Mairuhu, Mathilde Nijkeuter, Marcel A. van de Ree, Cornelis J. van Rooden, Robin E. Westerbeek, Jan Westerink, Eli Westerlund, Lucia J. M. Kroft, Frederikus A. Klok
Summary: The study evaluated the cost-effectiveness of using MRDTI for suspected recurrent ipsilateral DVT diagnosis, finding that diagnostic strategies with MRDTI generally had lower 1-year health care costs compared to strategies without MRDTI.
Review
Cardiac & Cardiovascular Systems
Antonio Silva Menezes Junior, Andre Rivera, Isabele Ayumi Miyawaki, Douglas Mesadri Gewehr, Barbara Nascimento
Summary: This review compared the long-term outcomes of remote monitoring (RM) and conventional monitoring (CM) for pacemakers. The findings suggest that RM leads to higher rates of atrial tachyarrhythmia (ATA) detection and fewer in-office (IO) visits per patient per year, without compromising patient safety.
CURRENT CARDIOLOGY REPORTS
(2023)
Article
Public, Environmental & Occupational Health
Yilin Gong, Xuelin Yao, Jin Peng, Yue Ma, Yu Fang, Kangkang Yan, Minghuan Jiang
Summary: This study evaluated the economic and health impacts of three influenza vaccines available in China for children. The results showed that trivalent inactivated vaccine was cost-effective compared with no vaccination for children aged six months to three years. For children aged 3-18 years, quadrivalent inactivated vaccine was the most cost-effective option.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2023)
Article
Medicine, General & Internal
Luis Gonzalez-de Paz, Belchin Kostov, Xavier Freixa, Carmen Herranz, Elena Lagarda, Maria Ortega, Elisa Perez, Silvia Porcar, Eva Sanchez, Montserrat Serrato, Ingrid Vidiella, Antoni Siso-Almirall
Summary: This study compared four methods of diagnosing hypertension and evaluated the time, cost, and patient experience. The results showed that 1 h-automated office blood pressure measurement was the cheapest and most accurate method, while office blood pressure measurement was the most expensive and least accurate method. Patients had a high satisfaction rate with 1 h-automated blood pressure measurement and home blood pressure monitoring.
FRONTIERS IN MEDICINE
(2022)
Article
Clinical Neurology
Taylor J. Abel, Nallammai Muthiah, Jasmine L. Hect, Jorge Gonzalez-Martinez, Afshin Salehi, Matthew D. Smyth, Kenneth J. Smith
Summary: Drug-resistant epilepsy occurs in up to 40% of patients eligible for epilepsy surgery, requiring invasive monitoring in half of drug-resistant focal epilepsy cases. This study compares the cost-effectiveness of subdural electrodes (SDEs) and stereo-electroencephalography (sEEG) as invasive monitoring strategies, finding that both methods are nearly equivalent in terms of cost-effectiveness.
JOURNAL OF NEUROSURGERY
(2023)
Article
Obstetrics & Gynecology
Brenda Niu, Narmin Mukhtarova, Oguzhan Alagoz, Kara Hoppe
Summary: This study demonstrates that telehealth with remote monitoring for postpartum hypertensive disorders can be a cost-effective and cost-saving solution, reducing healthcare costs in the US by an estimated $31 million per year.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2022)
Article
Medicine, General & Internal
Ali Mansour, Susan Rowell, Plamena P. Powla, Peleg Horowitz, Fernando D. Goldenberg, Christos Lazaridis
Summary: In this comparative effectiveness research study, PBI management guided by ICP monitoring was associated with decreased mortality and increased ICU LOS, challenging the notion of universally poor outcomes after civilian PBI. Randomized clinical trials that evaluate the efficacy of ICP monitoring in PBI are warranted.