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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1986-8-12
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pubmed:abstractText |
Dual-chamber pacemakers, more sophisticated and costly than single-chamber pacemakers, are being used with increasing frequency, often with unclear indications. Proponents of dual-chamber devices have focused on initial differences in cost without considering additional induced costs. We examined the incremental cost of dual-versus single-chamber pacemakers over the expected lifetime of a pacemaker recipient. In addition to initial costs, we included the costs of pacemaker malfunction, reimplantation, generator replacement, and follow-up. Expected differences in cumulative costs per patient were calculated over a 12-year period. Dual-chamber pacing is $2500 more costly at implantation. The difference in cumulative cost increases to $5100 by year 12, reflecting shorter functional life for dual-chamber pacemaker generators and increased cost of follow-up. The incremental cost of dual-chamber pacemaking is neither short-term nor trivial. Dual-chamber pacemakers should be reserved for those who clearly benefit from its advanced technology.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
|
pubmed:issn |
0003-4819
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
105
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
264-71
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:3729206-Costs and Cost Analysis,
pubmed-meshheading:3729206-Equipment Failure,
pubmed-meshheading:3729206-Heart Atria,
pubmed-meshheading:3729206-Heart Ventricles,
pubmed-meshheading:3729206-Humans,
pubmed-meshheading:3729206-Pacemaker, Artificial,
pubmed-meshheading:3729206-Reoperation,
pubmed-meshheading:3729206-Time Factors
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pubmed:year |
1986
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pubmed:articleTitle |
Single-chamber and dual-chamber cardiac pacemakers. A formal cost comparison.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
|