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Cost analysis of the Hemodialysis Reliable Outflow (HeRO) Graft compared to the tunneled dialysis catheter  Julien Al Shakarchi, MBChB, MSc, MRCS, Nicholas.

Published byOswalda Franke Modified over 5 years ago

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Presentation on theme: "Cost analysis of the Hemodialysis Reliable Outflow (HeRO) Graft compared to the tunneled dialysis catheter  Julien Al Shakarchi, MBChB, MSc, MRCS, Nicholas."— Presentation transcript:

1 Cost analysis of the Hemodialysis Reliable Outflow (HeRO) Graft compared to the tunneled dialysis catheter  Julien Al Shakarchi, MBChB, MSc, MRCS, Nicholas Inston, MBChB, PhD, FRCS, Robert G. Jones, MBChB, MRCP, FRCR, Grant Maclaine, BMedSc, MBBS, MEc, MA, David Hollinworth, PhD, MBA  Journal of Vascular Surgery  Volume 63, Issue 4, Pages (April 2016) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 Fig 1 The Hemodialysis Reliable Outflow (HeRO) Graft anastomosed to the brachial artery and inserted via the right internal jugular vein into the right atrium. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Transitions in the decision analysis model (only two full patient pathways of four complete model cycles are illustrated in this figure). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Number of device patency failures for the index Hemodialysis Reliable Outflow (HeRO) Graft plus replacement tunneled dialysis catheter (TDC) and index TDC. Note that following patency failure in 40.6% of index HeRO Graft implantations, a secondary placement procedure with a TDC device was carried out. Therefore, the clinical consequences experienced by the HeRO Graft cohort include TDC-related consequences (shown in red). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Number of device-related thrombosis procedures for index Hero Graft plus replacement tunneled dialysis catheter (TDC) and index TDC. Note that following patency failure in 40.6% of index Hemodialysis Reliable Outflow (HeRO) Graft implantations, a secondary placement procedure with a TDC device was carried out. Therefore, the clinical consequences experienced by the HeRO Graft cohort include TDC-related consequences (shown in red). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Number of access-related infections for the index Hemodialysis Reliable Outflow (HeRO) Graft plus replacement tunneled dialysis catheter (TDC) and index TDC. Note that following patency failure in 40.6% of the index HeRO Graft implantations, a secondary placement procedure with a TDC device was carried out. Therefore, the clinical consequences experienced by the HeRO Graft cohort include TDC-related consequences (shown in red). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Base case 1-year total cost per patient (£) for tunneled dialysis catheter (TDC) and Hemodialysis Reliable Outflow (HeRO) Graft. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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