Cardiac Pacing and Defibrillation Devices: Cost and Effectiveness.

Abstract:

:Implantable cardiac pacing and defibrillation devices are effective and commonly used therapies for patients with cardiac rhythm disorders. Because device implantation is not easily reversible, as well as the high healthcare costs inherent in device use, a clear understanding of the clinical benefits relative to costs is essential for both appropriate clinical use and rational policy making. Cardiac implantable electronic devices (CIEDs) have been among the best-investigated therapies in medicine; these devices have been the topic of numerous clinical and economic evaluations during the past 30 years. However, many important questions remain unclarified. We review the evidence supporting the clinical benefits of CIEDs, including effectiveness in extending survival as well as improving quality of life. We also summarize the economic studies that have investigated costs associated with these devices and their overall cost effectiveness, and we highlight important potential areas for future research.

journal_name

Annu Rev Med

authors

Groeneveld PW,Dixit S

doi

10.1146/annurev-med-043015-123540

subject

Has Abstract

pub_date

2017-01-14 00:00:00

pages

1-13

eissn

0066-4219

issn

1545-326X

journal_volume

68

pub_type

杂志文章,评审
  • Innovations in Ventricular Assist Devices for End-Stage Heart Failure.

    abstract::The number of patients with end-stage heart failure (HF) continues to increase over time, but there has been little change in the availability of organs for cardiac transplantation, intensifying the demand for left ventricular assist devices (LVADs) as a bridge to transplantation. There is also a growing number of pat...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-041217-011015

    authors: Miller RJH,Teuteberg JJ,Hunt SA

    更新日期:2019-01-27 00:00:00

  • Genetic privacy.

    abstract::During the past 10 years, the number of genetic tests performed more than tripled, and public concern about genetic privacy emerged. The majority of states and the U.S. government have passed regulations protecting genetic information. However, research has shown that concerns about genetic privacy are disproportionat...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.54.101601.152131

    authors: Sankar P

    更新日期:2003-01-01 00:00:00

  • Computed Tomography Scanning for Early Detection of Lung Cancer.

    abstract::Parallel and often unrelated developments in health care and technology have all been necessary to bring about early detection of lung cancer and the opportunity to decrease mortality from lung cancer through early detection of the disease by computed tomography. Lung cancer screening programs provide education for pa...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-020917-053556

    authors: Jacobson FL,Jaklitsch MT

    更新日期:2018-01-29 00:00:00

  • Hepatitis E: an overview.

    abstract::Hepatitis E has a worldwide distribution and causes substantial morbidity and mortality in some developing countries, particularly among pregnant women. Hepatitis E virus (HEV) has recently been cloned and sequenced and new diagnostic tests have been developed; these tests have been used to begin to characterize the n...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.47.1.257

    authors: Mast EE,Krawczynski K

    更新日期:1996-01-01 00:00:00

  • Human genome sequencing in health and disease.

    abstract::Following the "finished," euchromatic, haploid human reference genome sequence, the rapid development of novel, faster, and cheaper sequencing technologies is making possible the era of personalized human genomics. Personal diploid human genome sequences have been generated, and each has contributed to our better unde...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-051010-162644

    authors: Gonzaga-Jauregui C,Lupski JR,Gibbs RA

    更新日期:2012-01-01 00:00:00

  • Syncope: causes, clinical evaluation, and current therapy.

    abstract::Syncope is a common clinical problem comprising the sudden loss of both consciousness and postural tone, with a subsequent spontaneous and relatively prompt recovery. Often it is difficult to differentiate a true syncopal spell from other conditions, such as seizure disorders, or from some simple accidents. Even more ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.43.020192.001435

    authors: Benditt DG,Remole S,Milstein S,Bailin S

    更新日期:1992-01-01 00:00:00

  • Genetic testing in clinical practice.

    abstract::In the practice of internal medicine, the value of genetic testing in common (mono)genetic diseases such as familial hemochromatosis, hypercholesterolemia, Mediterranean fever, and thrombophilia is limited. The genotype insufficiently predicts the phenotype because of the powerful effects of other modifying genes, env...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.103007.132540

    authors: Lamberts SW,Uitterlinden AG

    更新日期:2009-01-01 00:00:00

  • Biological Aspects of Cancer Health Disparities.

    abstract::Racial and ethnic disparities span the continuum of cancer care and are driven by a complex interplay among social, psychosocial, lifestyle, environmental, health system, and biological determinants of health. Research is needed to identify these determinants of cancer health disparities and to develop interventions t...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev-med-070119-120305

    authors: Freedman JA,Al Abo M,Allen TA,Piwarski SA,Wegermann K,Patierno SR

    更新日期:2021-01-27 00:00:00

  • Leukocyte adhesion deficiency: an inherited defect in the Mac-1, LFA-1, and p150,95 glycoproteins.

    abstract::Leukocyte adhesion deficiency (LAD) is a recently recognized autosomal-recessive trait characterized by recurrent bacterial infections, impaired pus formation and wound healing, and abnormalities in a wide spectrum of adherence-dependent functions of granulocytes, monocytes, and lymphoid cells. Features of this diseas...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.me.38.020187.001135

    authors: Anderson DC,Springer TA

    更新日期:1987-01-01 00:00:00

  • IL-23 and autoimmunity: new insights into the pathogenesis of inflammatory bowel disease.

    abstract::The intestinal immune system has the challenge of maintaining both a state of tolerance toward intestinal antigens and the ability to combat pathogens. This balance is partially achieved by reciprocal regulation of proinflammatory, effector CD4(+) T cells and tolerizing, suppressive regulatory T cells. Inflammatory bo...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.051407.123757

    authors: Abraham C,Cho JH

    更新日期:2009-01-01 00:00:00

  • Clinical pharmacology of caffeine.

    abstract::Caffeine is the most widely consumed stimulant drug in the world. This chapter reviews the human pharmacology of caffeine; the evidence for its role in causing human disease, including addiction; and its potential usefulness as a therapeutic agent. ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.41.020190.001425

    authors: Benowitz NL

    更新日期:1990-01-01 00:00:00

  • Gonadotropin-releasing hormone and its analogs.

    abstract::GnRH and its analogues have led to exciting new avenues of therapy in virtually every subspecialty of internal medicine as well as in gynecology, pediatrics, and urology. Since their discovery in 1971, it has been demonstrated that GnRH and its analogues enable medical professionals to influence the hypothalamic-pitui...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.45.1.391

    authors: Conn PM,Crowley WF Jr

    更新日期:1994-01-01 00:00:00

  • Toxicity of parathyroid hormone in uremia.

    abstract::The most significant complication of elevated parathyroid hormone (PTH) levels in uremia is the development of osteitis fibrosa cystica. The hormone also appears to play a role in soft-tissue and organ calcification, metabolic abnormalities (glucose, lipids), and electroencephalographic changes seen in uremic patients...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.me.37.020186.000443

    authors: Klahr S,Slatopolsky E

    更新日期:1986-01-01 00:00:00

  • Prospects for life span extension.

    abstract::Life expectancy has increased dramatically in the United States and in much of the world in recent years and decades. The factors underlying this increase are incompletely understood and are undoubtedly complex. A question that drives current research is whether life expectancy can be further extended using current kn...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.061607.220533

    authors: Sierra F,Hadley E,Suzman R,Hodes R

    更新日期:2009-01-01 00:00:00

  • Parenteral and enteral nutrition.

    abstract::Stress and starvation, especially when complicated by sepsis, will give rise to a rapid erosion of the cellular mass, which significantly affects morbidity and mortality. The best clinical evaluation of the nutritional state is obtained from the medical history and the physical examination. In the patient who cannot e...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.42.020191.003001

    authors: Shizgal HM

    更新日期:1991-01-01 00:00:00

  • Update on typical and atypical antipsychotic drugs.

    abstract::Antipsychotic drugs (APDs) are best classified as typical or atypical. The distinction is based solely on their ability to cause extrapyramidal side effects (EPS), including tardive dyskinesia (TD). The two classes differ in mechanism of action, with atypical APDs providing important modulation of serotonergic neurotr...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-050911-161504

    authors: Meltzer HY

    更新日期:2013-01-01 00:00:00

  • Progress with chronic myelogenous leukemia: a personal perspective over four decades.

    abstract::Our understanding and treatment of chronic myelogenous leukemia (CML) has progressed since 1960 in parallel with work on cancer in general. CML provided the first evidence of a specific genetic change associated with a human cancer (the Philadelphia chromosome) and the clonal nature of these disorders. With improved c...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.med.53.082901.103519

    authors: Nowell PC

    更新日期:2002-01-01 00:00:00

  • Cardiovascular Effects of Incretin-Based Therapies.

    abstract::The incretin-based therapies, dipeptidyl peptidase-4 (DPP4) inhibitors and glucagon-like peptide-1 (GLP-1) analogs, are important new classes of therapy for type 2 diabetes mellitus (T2DM). These agents prolong the action of the incretin hormones, GLP-1 and glucose-dependent insulinotropic polypeptide (GIP), by inhibi...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-050214-013431

    authors: White WB,Baker WL

    更新日期:2016-01-01 00:00:00

  • Preeclampsia: pathophysiology, diagnosis, and management.

    abstract::Preeclampsia, a major cause of fetal and maternal morbidity and mortality, may be difficult to distinguish clinically from other hypertensive disorders of pregnancy. Signs helpful in its diagnosis include presentation during late gestation in a nullipara with edema and proteinuria, and one or more of the following: he...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.40.020189.001313

    authors: Lindheimer MD,Katz AI

    更新日期:1989-01-01 00:00:00

  • Cardiac resynchronization treatment of heart failure.

    abstract::Cardiac resynchronization therapy (CRT) is well established as a treatment for patients with moderate to severe heart failure on optimal medical therapy. Early studies demonstrated improved functional capacity and evidence of reverse remodeling; more recently, CRT has been associated with a survival benefit in advance...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.57.051804.122251

    authors: Hasan A,Abraham WT

    更新日期:2007-01-01 00:00:00

  • Neurocysticercosis: updates on epidemiology, pathogenesis, diagnosis, and management.

    abstract::Neurocysticercosis is now recognized as a common cause of neurologic disease in developing countries and the United States. The pathogenesis and clinical manifestations vary with the site of infection and accompanying host response. Inactive infection should be treated symptomatically. Active parenchymal infection res...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.51.1.187

    authors: White AC Jr

    更新日期:2000-01-01 00:00:00

  • Surgical implications of obesity.

    abstract::Obesity is perhaps the most significant public health problem facing the United States today. Obese patients are at increased risk for numerous medical problems, which can adversely affect surgical outcome. However, these risks have not uniformly translated into increased or prohibitive operative morbidity and mortali...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.49.1.215

    authors: Flancbaum L,Choban PS

    更新日期:1998-01-01 00:00:00

  • Idiopathic ventricular tachycardia.

    abstract::Most ventricular tachycardias encountered in clinical practice occur in patients who have structural heart disease. Idiopathic ventricular tachycardia refers to those arrhythmias that occur in patients without structural heart disease, metabolic/electrolyte abnormalities, or the long QT syndrome. Three commonly recogn...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.50.1.159

    authors: Altemose GT,Buxton AE

    更新日期:1999-01-01 00:00:00

  • Organ preservation.

    abstract::Organ preservation is the supply line for organ transplantation. Currently, the liver, pancreas, and kidney can be successfully preserved for up to two days by flushing the organs with the University of Wisconsin (UW) organ preservation solution and storing them at hypothermia (0-5 degree C). The UW solution is effect...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.46.1.235

    authors: Southard JH,Belzer FO

    更新日期:1995-01-01 00:00:00

  • Disorders of cobalamin (vitamin B12) absorption and transport.

    abstract::Highly specialized mechanisms are required for transporting cobalamin (vitamin B12) into and out of mammalian cells. This review describes the key role of the cobalamin-binding proteins in meeting the stringent requirements for transport of this essential nutrient. Also summarized are the various defects capable of im...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.me.36.020185.000521

    authors: Kapadia CR,Donaldson RM Jr

    更新日期:1985-01-01 00:00:00

  • New approaches to the treatment of osteoporosis.

    abstract::Although safe and effective agents are currently available to treat osteoporosis, fragility fractures remain a significant problem worldwide. Recent improvements in the understanding of the cellular, biochemical, and molecular pathways of bone biology have led to the development of newer agents to treat osteoporosis, ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061709-145401

    authors: Silva BC,Bilezikian JP

    更新日期:2011-01-01 00:00:00

  • The diagnosis of diabetes: new international classification and diagnostic criteria.

    abstract::The National Diabetes Data Group and the World Health Organization recently made recommendations concerning the classification of diabetes mellitus and proposed new diagnostic criteria. These recommendations are summarized and their bases elucidated. Certain discrepancies between the recommendations are apparent and t...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.34.020183.001455

    authors: Bennett PH

    更新日期:1983-01-01 00:00:00

  • Allergic bronchopulmonary aspergillosis.

    abstract::Allergic bronchopulmonary aspergillosis (ABPA) is a syndrome seen in patients with asthma and cystic fibrosis. It is characterized by chronic colonization of the airways with a ubiquitous fungus, Aspergillus fumigatus. The clinical expression of ABPA results from the complex interaction of chronic colonization of the ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.50.1.303

    authors: Cockrill BA,Hales CA

    更新日期:1999-01-01 00:00:00

  • The course and treatment of lupus nephritis.

    abstract::Renal involvement by systemic lupus is variable; some patients have minimal clinical and histologic involvement, whereas others have fulminant renal failure and severe proliferative renal lesions on biopsy. The World Health Organization (WHO) classification has greatly aided in the study of lupus nephritis. This class...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.45.1.525

    authors: Appel GB,Valeri A

    更新日期:1994-01-01 00:00:00

  • Evaluation of brain imaging techniques in mental illness.

    abstract::Brain imaging is increasingly applied in psychiatry, both for clinical evaluation and as a research tool. Computerized tomography (CT) and magnetic resonance imaging (MRI) have documented that structural brain abnormalities occur in some types of psychiatric patients, particularly those who suffer from schizophrenia. ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.39.020188.002003

    authors: Andreasen NC

    更新日期:1988-01-01 00:00:00