| アブストラクト | BACKGROUND: Japan adopts a unique healthcare system that is generous to older adults. We evaluated the cost treatment of transcatheter aortic valve replacement(TAVR) and surgical aortic valve replacement(SAVR) in older adults in Japan. OBJECTIVE AND METHODS: The TAVR group(n=333) included patients who underwent the procedure at the age of >==75 years. The E-SAVR (n=78) and Y-SAVR (n=81) groups included patients who underwent a simple SAVR at the age of >==75 and <==74 years, respectively. We compared the clinical outcomes and total inpatient costs among the three groups. RESULTS: The operative time, length of intensive care unit and hospital stay were significantly shorter in the TAVR group. Drug and blood product cost, procedure fee, and diagnosis procedure combination cost were significantly lower in the TAVR group. The surgical equipment cost and total costs were significantly higher in the TAVR group. The rate of patients' payment was significantly lower in the TAVR group;however, it remained minimal in all three groups. The 5-year survival rate was significantly lower in the TAVR group than in the SAVR group. CONCLUSIONS: The total inpatient costs were higher in patients who underwent TAVR than in those who underwent SAVR. The self-payment for medical care costs for older adults is relatively small in Japan. |
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| ジャーナル名 | Kyobu geka. The Japanese journal of thoracic surgery |
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| Pubmed追加日 | 2025/11/19 |
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| 投稿者 | Maze, Yasumi; Tokui, Toshiya; Inoue, Ryotaro; Maruyama, Satoshi; Murakami, Masahiko; Inoue, Ryosai; Hirano, Reina; Yamamoto, Naoki |
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| 組織名 | Department of Cardiovascular Surgery, Ise Red Cross Hospital, Ise, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/41253309/ |
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