The high cost of syncope: Cost implications of a new insertable loop recorder in the investigation of recurrent syncope

American Heart Journal

Volumn 137, Issue 5, 1999, Pages 870-877

  Krahn, Andrew D ^a   Klein, George J ^b   Yee, Raymond ^b   Manda, Ven ^b  

^a LONDON HEALTH SCIENCES CENTRE   (Canada)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DEVICE; DIAGNOSTIC APPROACH ROUTE; DIAGNOSTIC VALUE; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY MONITORING; EXPERIMENTAL MODEL; HEALTH CARE COST; HEALTH CARE UTILIZATION; HUMAN; IMPLANTATION; PRIORITY JOURNAL; RECURRENT DISEASE; SYNCOPE;

EID: 0032933119     PISSN: 00028703     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0002-8703(99)70411-4     Document Type: Article

References (31)

1. 1. Martin GJ, Adams SL, Martin HG, et al. Prospective evaluation of syncope. Ann Emerg Med 1984;13:499-504.
2. 2. Day SC, Cook EF, Funkenstein H, et al. Evaluation and outcome of emergency room patients with transient loss of consciousness. Am J Med 1982;73:15-23.
3. 3. Kapoor WN. Evaluation and outcome of patients with syncope. Medicine 1990;69:160-75.
4. 4. Sra JS, Anderson AJ, Sheikh SH, et al. Unexplained syncope evaluated by electrophysiologic studies and head-up tilt testing. Ann Intern Med 1991;114:1013-9.
5. 5. Brown AP, Dawkins KD, Davies JG. Detection of arrhythmias: use of a patient-activated ambulatory electrocardiogram device with a solid-state memory loop. Br Heart J 1987;58:251-3.
6. 6. Cumbee SR, Pryor RE, Linzer M. Cardiac loop ECG recording: a new non-invasive diagnostic test in recurrent syncope. South Med J 1990;83:39-43.
7. 7. Linzer M, Pritchett ELC, Pontinen M, McCarthy E, Divine GW. Incremental diagnostic yield of loop electrocardiographic recorders in unexplained syncope. Am J Cardiol 1990;66:214-9.
8. 8. Zimetbaum P, Klm KY, Ho KKH, Zebede J, Josephson ME, Goldberger AL. Utility of patient-activated event recorders in general clinical practice. Am J Cardiol 1997;79:371-2.
9. 9. Krahn AD, Klein GJ, Norris C, Yee R. The etiology of syncope in patient with negative tilt table and electrophysiologic testing. Circulation 1995;92:1819-24.
10. 10. Krahn AD, Klein G, Norris C, Yee R. The etiology of syncope in patients with negative non-invasive and invasive testing: final results from a pilot study with an insertable loop recorder. Am J Cardiol 1998;82:117-9.
11. 11. Klein GJ, Gersh BJ, Yee R. Electrophysiologic testing: the final court of appeal for diagnosis of syncope? Circulation 1995;92:1332-5.
12. 12. Kapoor WN, Hammill SC, Gersh BJ. Diagnosis and natural history of syncope and the role of electrophysiologic testing. Am J Cardiol 1989;63:730-4.
13. 13. Kapoor WN, Karpf M, Weiand S, Peterson JR, Levey GS. A prospective evaluation and follow-up of patients with syncope. N Enql J Med 1983;309:197-294.
14. 14. Manolis AS, Linzer M, Salem D, Estes NAM. Syncope: current diagnostic evaluation and management. Ann Intern Med 1990;112:850-63.
15. 15. Kapoor WN. Evaluation and management of the patient with syncope. JAMA 1992;268:2553-60.
16. 16. Kapoor WN. Diagnostic evaluation of syncope. Am J Med 1991;90:91-106.
17. 17. Eagle KA, Black HR. The impact of diagnostic tests in evaluating patients with syncope. Yale J Biol Med 1983;56:1-8.
18. 18. Kapoor WN, Smith NA, Miller NL. Upright tilt testing in evaluating syncope: a comprehensive literature review. Am J Med 1994;97:78-88.
19. 19. Recchia D, Barzilai B. Echocardiography in the evaluation of patients with syncope. J Gen Intern Med 1995;10:649-55.
20. 20. Kapoor WN, Karpf M, Maher Y, Miller RA, Levey GS. Syncope of unknown origin: the need for a more cost-effective approach to its diagnostic evaluation. JAMA 1982;19:2687-91.
21. 21. Hsiao WC, Braun P, Yntema D, Becker ER. Estimating physician work for a resource-based relative-value scale. N Engl J Med 1988;319:835-41.
22. 22. Cohen D, Krumholz H, Sukin CA, et al. In-hospital and one-year economic outcomes after coronary stenting or balloon angioplasty. Results from a randomized clinical trial. Circulation 1995; 92:2480-7.
23. 23. Cohen D, Breall J, Ho KKL, et al. Evaluating the potential cost-effectiveness of stenting as a treatment of single-vessel coronary disease. Use of a decision-analytic model. Circulation 1994;89:1859-74.
24. 24. Finkler SA. The distinction between cost and charges. Ann Intern Med 1982;96:102-9.
25. 25. Mark DB. Medical economics and health policy issues for interventional cardiology. In: Topol EJ, editor. Textbook of interventional cardiology. 2nd ed. Philadelphia: W.B. Sounders; 1993. p. 1323-53.
26. 26. Mark DB. Economic analysis methods and endpoints. In: Califf RM et al, editors. Acute coronary care in the thrombolytic era. 2nd ed. St. Louis: Mosby-Year Book; 1995. p. 167-82.
27. 27. Daniel W. Biostatistics: a foundation for analysis in health sciences. 6th ed. New York: Wiley Series; 1995.
28. 28. Duan N. Smearing estimate: a non-parametric retransformation method. J Am Stat Assoc 1983;78:605-10.
29. 29. Halvorsen R, Palmquist R. The interpretation of dummy variables in semilogarithmic equations. Am Econ Rev 1980;70:474-5.
30. 30. Kennedy P. Estimation of correctly interpreted dummy variables in semilogarithmic equations. Am Econ Rev 1981;71:801.
31. 31. Physician fees: a comprehensive guide for fee schedule review and management. Los Angeles: Practice Management Information Corporation (PMIC); 1996.