TY  - JOUR
T1  - Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVAR
TT  - EVAR'ın Maliyet Etkinliğini Öngörmede Siena ve St George Vascular Institute Risk Skorlama Sistemleri
AU  - Arıkan, Ali Ahmet
AU  - Yavuz, Şadan
AU  - Berki, Kamil Turan
PY  - 2020
DA  - December
Y2  - 2020
DO  - 10.25279/sak.626809
JF  - Health Academy Kastamonu
JO  - HAK
PB  - Esra DEMİRARSLAN
WT  - DergiPark
SN  - 2548-1010
SP  - 209
EP  - 218
VL  - 5
IS  - 3
LA  - en
AB  - Objectives: Endovascular aneurysm repair (EVAR) is awidely used modality in the treatment of abdominal aortic aneurysms (AAA).Siena EVAR and St.George Vascular Institute (SGVI) scores are risk scores topredict possible EVAR related reinterventions. This study was aimed to validatethe risk scores and compare the predictivity of the scoring systems forhospital cost-effectiveness in our population.Materials and Methods: 39 patients with unrupturedinfrarenal AAA, including both elective and non-elective admissions which had afollow-up period from at least 6 months are included in our study. Siena EVARscore and SGVI score are calculated. The relation of the complications(adjuncts at the index operation, reinterventions during follow up), costs(index procedure and overall), aneurysm related mortality are compared amongthe risk groups. Results: In our study, SGVI score had a predictivityamong high and low-risk groups involving reinterventions during follow up, coston index operation and mortality (P < 0.05). Siena EVAR score had nosignificant predictivity (p > 0.05). Conclusion: A high-risk value in SGVI score must warnthe surgeon to reassess the treatment option for AAA. If EVAR is indicated the health care providersand assurance system can count on a higher cost on index operation, a higherrisk of reintervention and mortality during long term follow up.
KW  - Aortic Aneurysm
KW  - Abdominal; Endovascular Procedures
KW  - risk assesment
KW  - Health Care Costs
KW  - reoperation
N2  - Amaç: Endovasküler anevrizma onarımı (EVAR), abdominal aortanevrizmalarının (AAA) tedavisinde yaygın olarak kullanılan bir yöntemdir.Siena EVAR ve St.George Vasküler Enstitüsü (SGVI) puanları, EVAR ile ilgiliolası müdahaleleri öngörmek için kullanılan risk puanlarıdır. Bu çalışmada,risk skorlarını doğrulamak ve skorlama sistemlerinin popülasyonumuzda hastanemaliyet etkinliği için öngörülerini karşılaştırmak amaçlandı.Gereç ve Yöntem: Çalışmamıza en az 6 ay takip süresine sahiprüptüre olmayan infrarenal AAA'lı 39 hasta dahil edildi. Siena EVAR skoru veSGVI skoru hesaplandı. Risk grupları arasında komplikasyonların (ilkoperasyonundaki ek işlemler, takip sırasında girişim ihtiyacı), maliyet (ilk işlemve genel), anevrizmaya bağlı mortalite arasındaki ilişki karşılaştırıldı.Bulgular: Çalışmamızda SGVI skoru yüksek riskli ve düşükriskli grupları arasında, takip sırasında girişim ihtiyacı, ilk işlem maliyetive mortalite açısından anlamlı fark bulundu (P ​​<0.05). Siena EVAR skorununanlamlı bir öngörücülüğü yoktu (p> 0.05).Sonuç: SGVI skorundaki yüksek riskli bir değer, cerrahı AAAiçin tedavi seçeneğini yeniden değerlendirmesi için uyarmalıdır. EVAR riskgruplamasına göre, sağlık hizmeti sağlayıcıları ve sosyal güvence sistemi, ilk işleminlerde daha yüksek bir maliyet ve uzunsüreli takip sırasında daha yüksek oranda yeniden girişim ihtiyacı ve ölüm riskini hesaba katmalıdır .
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UR  - https://doi.org/10.25279/sak.626809
L1  - https://dergipark.org.tr/en/download/article-file/1089851
ER  -