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    Por favor, use este identificador para citar o enlazar este ítem:https://uvadoc.uva.es/handle/10324/73290

    Título
    A systematic review of the socioeconomic impact of mechanical thrombectomy for acute ischemic stroke
    Autor
    Martín Gutierrez, AdriánAutoridad UVA
    Leal Vega, LuisAutoridad UVA Orcid
    Coco Martín, María BegoñaAutoridad UVA Orcid
    Arenillas Lara, Juan FranciscoAutoridad UVA
    Año del Documento
    2024
    Editorial
    Elsevier
    Descripción
    Producción Científica
    Documento Fuente
    Journal of Stroke and Cerebrovascular Diseases, noviembre 2024, vol. 33, n. 11, 10790
    Resumen
    Background: Mechanical Thrombectomy (MT) is an efficacious treatment for severe acute ischemic stroke patients. However, access to MT is limited in many parts of the world, partly due to economic barriers. The purpose of this systematic review is to provide an updated frame about the socioeconomic impact of MT. Methods: To carry out this systematic review we used the PRISMA guidelines. We included scientific articles analyzing the socioeconomic impact of MT for acute ischemic stroke, in which MT was compared to best medical therapy (BMT). The online databases of Pubmed, Scopus and Web of Science were used as main sources of information. To carry out the comparative analysis, the incremental cost-effectiveness ratio (ICER) was used, relating the cost to quality-adjusted life-year (QALY). Risk of bias was assessed with the Consensus Health Economic Criteria (CHEC) and the Consolidated Health Economic Evaluation Reporting Standards (CHEERS). Results: Eight hundred thirty-two studies were identified in this systematic review. As a result, studies that used cost-effectiveness analysis show that MT saves costs in the long term and cost-utility analysis show that the cost per QALY is reasonable with a mean ICER value of $14242.36/QALY. Conclusions: MT has a favorable socioeconomic impact, as derived from cost-effectiveness and cost-utility analyses. Therefore, public policies should encourage the implementation of MT for stroke patients around the world.
    Materias Unesco
    32 Ciencias Médicas
    Palabras Clave
    Ischemic stroke
    Mechanical thrombectomy
    Socioeconomic impact
    Systematic review
    ISSN
    1052-3057
    Revisión por pares
    SI
    DOI
    10.1016/j.jstrokecerebrovasdis.2024.107906
    Patrocinador
    Instituto de Salud Carlos III (RICORS-ICTUS)
    Version del Editor
    https://www.sciencedirect.com/science/article/pii/S1052305724003501
    Propietario de los Derechos
    © 2024 The Authors
    Idioma
    eng
    URI
    https://uvadoc.uva.es/handle/10324/73290
    Tipo de versión
    info:eu-repo/semantics/publishedVersion
    Derechos
    openAccess
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    • DEP52 - Artículos de revista [181]
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    Universidad de Valladolid

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