Endovascular coiling versus surgical clipping: a review of the clinical and cost-effectiveness
Mujoomdar M, Farrah K
Record ID 32011001237
English
Authors' recommendations:
The evidence regarding the clinical effectiveness of EC compared with SC suggests that the two procedures may have comparable clinical effectiveness at one year follow-up. Treatment with EC beyond one year is associated with increased need for re-treatment and incidence of re-bleeding. The economic evaluations suggested that the cost of EC was higher than SC and that this increase was mainly due to the cost of the platinum coils. All economic evaluations reported that EC was associated with lower in-hospital stay costs. It is possible that the cost of the coils may decrease in the future as the number of manufacturers increase. The choice of EC or SC for the treatment of aneurysms may depend on the expertise available at a particular medical centre (i.e. interventional radiology or neurosurgery), the physical characteristics of the aneurysm (i.e. location and size), and the health status of the patient.
Details
Project Status:
Completed
URL for project:
http://www.cadth.ca/media/pdf/L0131_Endovascular_Coiling_final.pdf
Year Published:
2009
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Intracranial Aneurysm
- Neurosurgical Procedures
Contact
Organisation Name:
Canadian Agency for Drugs and Technologies in Health
Contact Address:
600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;
Contact Name:
requests@cadth.ca
Contact Email:
requests@cadth.ca
Copyright:
Canadian Agency for Drugs and Technologies in Health (CADTH)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.