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Cited by 109Atrial Fibrillation Management and OutcomesHealth Systems, Economic Evaluations, Quality of LifeAcute Ischemic Stroke Management

The DOI matches its Crossref record; 55 of the 56 references it cites were found in a registry or an index.

A Review of the Cost of Atrial Fibrillation

Open access
Wodchis, Walter P., Bhatia, R. Sacha, Leblanc, Kori, Meshkat, Nazanin, Morra, Dante·2012·Value in Health
DOI 10.1016/j.jval.2011.09.009
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Abstract

Objectives To systematically review and synthesize the literature on the costs of atrial fibrillation (AF) with attention to study design and costing methods, geography, and intervention approaches.Methods A systematic search for previously published studies reporting the costs for AF patients was conducted. Data were analyzed in three steps: first by evaluating overall system costs; second by evaluating the relative contribution of specific cost components; and third by examining variations across study designs, across primary treatment approach, and by geography. Finally, a specific review of the treatment costs associated with anticoagulation treatment was examined given the clinical importance and attention given to these costs in the literature.Results The literature search resulted in 115 articles. On review of the abstracts or full text of these articles, 21 articles met all study criteria and reported on health system AF-related direct costs. A further six articles focused exclusively on anticoagulation costs for patients with AF. The overall average annual system cost across 27 estimates obtained from the literature was $5450 (SD = $3624) in 2010 Canadian dollars and ranged from a low of $1,632 to a high of $21,099. About one-third of these costs could be attributed to anticoagulation management. The largest cost component was acute care, followed by outpatient and physician and then medication-related costs.Conclusion AF-related medical costs are high, reflecting resource-intensive and long-term treatments including anticoagulation treatment. These costs, accompanied with increasing prevalence, justify increased attention to the management of patients with AF. Future studies of AF cost should ensure a broad assessment of the incremental direct medical and societal cost associated with this diagnosis.

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Crossref · 10.1016/j.jval.2011.09.009

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Research works printed but not linked: 2

  1. Hernandez Madrid, 2005, Transcatheter radiofrequency ablation of the pulmonary veins: cost-benefit ratio and socioeconomic and health care implications [Ablacion transcateter por radiofrecuencia de las venas pulmonares, Investig Cardiovasc, 8, 87
  2. Neeser, 2006, Journal fur Kardiologie, 13, 313

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Metadata

Authors
Wodchis, W. P., Bhatia, R. S., Leblanc, K., Meshkat, N., & Morra, D.
Affiliations
  • University of Toronto (CA)
  • Harvard University (US)
  • University Health Network (CA)
Corresponding author
Wodchis, Walter P.
ORCID
Venue
Value in Health
Publisher
Elsevier BV
Published
2012-03
Volume
15
Issue
2
Pages
240-248
ISSN
1098-3015 (ISSN-L)
DOI
10.1016/j.jval.2011.09.009
OpenAlex
W2029111709
Cited by
109
References
56
Citations by year
2026: 1 · 2025: 3 · 2024: 10 · 2023: 8 · 2022: 13 · 2021: 8 · 2020: 6 · 2019: 8 · 2018: 6 · 2017: 9 · 2016: 9 · 2015: 11 · 2014: 6 · 2013: 8 · 2012: 3
FWCI
0.92
Type
journal article
Language
en
Open access
Licence
Locations
  • Value in Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
Keywords
atrial fibrillation, health care costs, direct medical costs, anticoagulation costs, cost components, acute care costs, drug costs, physician costs, economic burden
MeSH terms
Atrial Fibrillation, Costs and Cost Analysis, Humans, Research Design, Health Care Costs, Cost of Illness

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