Arrhythmias & electrophysiology

Economic and Health Value of Delaying Atrial Fibrillation Progression Using Radiofrequency Catheter Ablation

Circ Arrhythm ElectrophysiolPublished Health economic modelling study

Main finding · Net monetary benefit per patientResult — go to the resultMean net monetary benefit 8516 $ CI 148-16 681

Authors' conclusion

RFCA is a dominant (less costly and more effective) treatment strategy for patients with AF, especially those with early AF for whom RFCA could delay progression to advanced AF.

Study context

Population
Hypothetical sample of patients with paroxysmal atrial fibrillation (AF)hypothetical sample
Comparison
Radiofrequency catheter ablation (RFCA) vs antiarrhythmic drug treatment
Outcome
Net monetary benefit per patient (discounted costs and QALYs)
Follow-up
Lifetime
Methodological detailsindividual-level state-transition model, hypothetical sample, payer's perspective, lifetime horizon, Lifetime risk of progression from paroxysmal to persistent AF informed by ATTEST data, Incremental effect of RFCA on progression modelled over 5 years
  • Individual-level state-transition model
  • Hypothetical sample
  • Payer's perspective
  • Lifetime horizon
  • Lifetime risk of progression from paroxysmal to persistent AF informed by ATTEST data
  • Incremental effect of RFCA on progression modelled over 5 years

Main finding

Net monetary benefit per patient

Mean net monetary benefit

8516 $

CI 148-16 681

As reported in the abstract

Further findings

OutcomeMean increase (QALYs) (95% CI)
QALYs0.084 (0.0–0.17)
OutcomeMean reduction ($) (95% CI)
Per-patient costs73 (-$2700 to $2200)

CV-related health care encounters

Mean number decreased with RFCA
24%

Original publication

Economic and Health Value of Delaying Atrial Fibrillation Progression Using Radiofrequency Catheter Ablation. Circ Arrhythm Electrophysiol. Published 9 March 2023. doi:10.1161/circep.122.011237

Composed by AI from the published abstract and checked against it. How Briefs are made →

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