Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Neurology and Therapy
Published in: Neurology and Therapy 2/2016

Open Access 01-12-2016 | Original Research

Cost of Treatment of Cerebral Aneurysm Embolization: Study of Associated Factors

Authors: Amine Cheikh, Razine Rachid, Aasfara Jehanne, Ababou Adil, Benomar Ali, Yahya Cherrah, El Hassani Amine, El Quessar Abdeljalil

Published in: Neurology and Therapy | Issue 2/2016

Login to get access

Abstract

Background

Surgical clipping or endovascular coiling are the main procedures used in the treatment of cerebral aneurysms, with a preference for endovascular coiling. In Morocco, the number of patients needing endovascular coiling is growing, but many of them do not have access to this technique. The aim of this study was to determine the main parameters associated with variations in the total cost of this procedure in order to establish the amount (lump sum) that may be reimbursed by health insurance funds.

Methods

One hundred and seventeen patients with 124 aneurysms were admitted for treatment of one or more intracranial aneurysms between January 2010 and December 2015. The overall cost of hospitalization was assessed by using the micro-costing technique. The calculation was based on the tariffs of medical procedures as defined by the Ministry of Health in Morocco. A regression analysis was used to define the correlation between the overall cost and the various parameters.

Results

Univariate linear regression showed that the total cost was influenced by overall duration of hospitalization, ICU duration of hospitalization and size of aneurysm. On the other hand, univariate linear regression showed that the total cost was not influenced by sex, localization of aneurysm, and size of the aneurysm’s neck. However, multivariate linear regression showed that the total cost was influenced by one type of insurance health, overall duration of hospitalization, ICU duration of hospitalization, size of the aneurysm, and size of the aneurysm’s neck.

Conclusion

Setting a rate for reimbursement of patients who have had coiling treatment for a cerebral aneurysm should take into account the results of our study in order to limit the costs borne by patients. The parameters that influence the overall cost must be reimbursed in each case while the parameters that do not influence treatment costs could be included in a lump sum.
Literature
1.
Connolly ES, Rabinstein AA, Carhuapoma JR, Derdeyn CP, Dion J, Higashida RT, Hoh BL, Kirkness CJ, Naidech AM, Ogilvy CS, Patel AB, Thompson BG, Vespa P. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the american heart association/american stroke association. Stroke. 2012;43(6):1711–37.CrossRefPubMed
2.
King JT Jr, Berlin JA, Flamm ES. Morbidity and mortality from elective surgery for asymptomatic, unruptured, intracranial aneurysms: a meta-analysis. J Neurosurg. 1994;81:837–42.CrossRefPubMed
3.
Raaymakers TW, Rinkel GJ, Limburg M, Algra A. Mortality and morbidity of surgery for unruptured intracranial aneurysms: a meta-analysis. Stroke. 1998;29:1531–8.CrossRefPubMed
4.
Johnston SC, Higashida RT, Barrow DL, Caplan LR, Dion JE, Hademenos G, et al. Recommendations for the endovascular treatment of intracranial aneurysms: a statement for healthcare professionals from the Committee on Cerebrovascular Imaging of the American Heart Association Council on Cardiovascular Radiology. Stroke. 2002;33(10):2536–44.CrossRefPubMed
5.
Bardach NS, Zhao S, Gress DR, Lawton MT, Johnston SC. Association between subarachnoid hemorrhage outcomes and number of cases treated at California hospitals. Stroke. 2002;33(7):1851–6.CrossRefPubMed
6.
Kassell NF, Torner JC, Jane JA, Haley EC Jr, Adams HP. The International Cooperative Study on the Timing of Aneurysm. Surgery. Part 2: surgical results. J Neurosurg. 1990;73:37–47.CrossRefPubMed
7.
8.
Molyneux AJ, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J, et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet. 2002;360(9342):1267–74.CrossRefPubMed
9.
Molyneux AJ, Kerr RSC, Yu LM, Clarke M, Sneade M, Yarnold JA, Sandercock P. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet. 2005;366(9488):809–17.CrossRefPubMed
10.
Bekelis Kimon, Missios Symeon, Labropoulos Nicos. Cerebral aneurysm coiling: a predictive model of hospitalization cost. J NeuroIntervent Surg. 2015;7:543–8.CrossRef
11.
12.
Labalette C, et al. Embolisations des anévrismes cérébraux: évolutions du financement et perspectives. J Radiol. 2010;91:895–900.CrossRefPubMed
13.
Tahir MZ, et al. Cost-effectiveness of clipping vs coiling of intracranial aneurysms after subarachnoid hemorrhage in a developing country-a prospective study. Surg Neurol. 2009;72:355–61.CrossRef
14.
Amine C, El Abbadi Najia IH, Adil A, Yahya C, Quessar Abdeljalil EL. The cost of management of intracranial aneurysm by embolization in Morocco: about 48 cases. Int J Pharm Pharm Sci. 2014;6(2):822–6.
15.
Li MH, Chen SW, Li YD, et al. Prevalence of unruptured cerebral aneurysms in Chinese adults aged 35 to 75 years: a cross-sectional study. Ann Intern Med. 2013;159:514–21.CrossRefPubMed
16.
Bairstow P, Dodgson A, Linto J. Comparison of cost and outcome of endovascular and neurosurgical procedures in the treatment of intracranial aneurysms. Australas Radiol. 2002;46:249–51.CrossRefPubMed
17.
Ballet AC, Guerien J, Taboulet F. Neurosurgical and endovascular treatment of intra cranial aneurysms: a cost analysis of two different strategies at the university hospital of Bordeaux (France). Neurochirurgie. 2002;48:419–25.PubMed
18.
Hoh BL, Chi Y-Y, Dermott MA, Lipori PJ, Lewis SB. The effect of coiling versus clipping of ruptured and unruptured cerebral aneurysms on length of stay, hospital cost, hospital reimbursement, and surgeon reimbursement at the University of Florida. Neurosurgery. 2009;64(4):614–9.CrossRefPubMed
19.
Javadpour M, Harsh J, Willinsky RA. Analysis of cost related to clinical and angiographic outcomes of aneurysm patients enrolled in ISAT in a North American setting. Neurosurgery. 2005;56(5):886–94.PubMed
20.
Johnston SC. Effect of endovascular services and hospital volume on cerebral aneurysm treatment outcomes. Stroke. 2000;31:111–7.CrossRefPubMed
21.
Duan Y, Blackham K, Nelson J, Selman W, Bambakidis N. Analysis of short-term total hospital costs and current primary cost drivers of coiling versus clipping for unruptured intracranial aneurysms. J Neurointerv Surg. 2015;7(8):614–8.CrossRefPubMed
22.
Lad SP, Babu R, Rhee MS, Franklin RL, Ugiliweneza B, Hodes J, Nimjee SM, Zomorodi AR, Smith TP, Friedman AH, Patil CG, Boakye M. Long-term economic impact of coiling vs clipping for unruptured intracranial aneurysms. Neurosurgery. 2013;72(6):1000–11.CrossRefPubMed
23.
Qureshi AI, Janardhan V, Hanel RA, Lanzino G. Comparison of endovascular and surgical treatments for intracranial aneurysms: an evidence-based review. Lancet Neurol. 2007;6(9):816–25.CrossRefPubMed
Metadata
Title
Cost of Treatment of Cerebral Aneurysm Embolization: Study of Associated Factors
Authors
Amine Cheikh
Razine Rachid
Aasfara Jehanne
Ababou Adil
Benomar Ali
Yahya Cherrah
El Hassani Amine
El Quessar Abdeljalil
Publication date
01-12-2016
Publisher
Springer Healthcare
Published in
Neurology and Therapy / Issue 2/2016
Print ISSN: 2193-8253
Electronic ISSN: 2193-6536
DOI
https://doi.org/10.1007/s40120-016-0044-6

Other articles of this Issue 2/2016

Neurology and Therapy 2/2016 Go to the issue

Original Research

Evaluation of Quality of Life in Patients With Narcolepsy Treated With Sodium Oxybate: Use of the 36-Item Short-Form Health Survey in a Clinical Trial

Review

Current Data on and Clinical Insights into the Treatment of First Episode Nonaffective Psychosis: A Comprehensive Review

Original Research

Priority of Treatment Outcomes for Caregivers and Patients with Mild Cognitive Impairment: Preliminary Analyses

Original Research

Pregnancy Experience: Nonclinical Studies and Pregnancy Outcomes in the Daclizumab Clinical Study Program

Original Research

The Effect of Dimethyl Fumarate on Cerebral Gray Matter Atrophy in Multiple Sclerosis

Editorial

Editorial Introduction