[Comparative effectiveness study of catheter ablation for atrial fibrillation]

Park DA, Hwang JS, Kim MJ, Lee DH, Lee NR, Park SH, Lee YK, Oh SI, Lee MH
Record ID 32013000526
Korean
Authors' recomendations: In this systematic review of sixty-seven studies including RCT and observational studies, it could not be concluded that catheter ablation is better than other treatments for rhythm control in patients with AF. (1) In CA versus AADs, there was insufficient evidence to suggest that CA is a better treatment compared with AAD therapy in AF patients. (2) In CA versus surgical procedures, through exploratory meta-analysis combining RCT and NRS, we found that surgical ablation is a promising treatment option compared with CA. (3) In CA versus electrical cardioversion, 2 studies (RCT 1, NRS 1) evaluated the safety and effectiveness of catheter ablation compared with elective electrical cardioversion for the treatment of AF and a qualitative review was carried out. (4) In comparisons with different CAs, there was limited evidence to suggest which ablation technique is the best treatment. Just, the use of CPVI/PVI/LA plus additional linear ablation in NRSs was associated with a statistically significant reduction in the recurrence of AF/AT. In comparing CA with surgical treatment using the national health insurance claims data, we found that the use of CA was related to a significant increase in retreatment compared with surgical treatment.
Details
Project Status: Completed
Year Published: 2012
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: South Korea
MeSH Terms
  • Atrial Fibrillation
Contact
Organisation Name: National Evidence-based healthcare Collaborating Agency
Contact Address: National Evidence-based Healthcare Collaborating Agency (NECA), Changkyung B/D 9F, Wonnam-dong 28-7, Jongno-gu, Seoul, South Korea
Contact Name: hta_neca@neca.re.kr
Contact Email: hta_neca@neca.re.kr
Copyright: National Evidence-based Healthcare Collaborating Agency (NECA)
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.