Cost Effectiveness of Drive and Retrieve System in Hokkaido for Acute Ischemic Stroke Patient Treatment Using Geographic Information System

Morii, Yasuhiro; Osanai, Toshiya; Ishikawa, Tomoki; Fujiwara, Kensuke; Tanikawa, Takumi; Houkin, Kiyohiro; Kobayashi, Eiichi; Ogasawara, Katsuhiko

Cost Effectiveness of Drive and Retrieve System in Hokkaido for Acute Ischemic Stroke Patient Treatment Using Geographic Information System

Morii, Yasuhiro; Osanai, Toshiya; Ishikawa, Tomoki et al.

Journal of stroke & cerebrovascular diseases, 2019, 28(8), 2292-2301

Permalink : https://hdl.handle.net/2115/79156

このアイテムのアクセス数:620件（2026-08-10 04:33 集計）

閲覧可能ファイル

ファイル	フォーマット	サイズ	閲覧回数	説明
Morii2019	pdf	654 KB	681

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権	open access
URI	https://hdl.handle.net/2115/79156
タイトル	Cost Effectiveness of Drive and Retrieve System in Hokkaido for Acute Ischemic Stroke Patient Treatment Using Geographic Information System
著者	Morii, Yasuhiro ; Osanai, Toshiya ; Ishikawa, Tomoki ; Fujiwara, Kensuke ; Tanikawa, Takumi ; Houkin, Kiyohiro ; Kobayashi, Eiichi ; Ogasawara, Katsuhiko
著者名 Morii, Yasuhiro
e-Rad_Researcher 90622788 著者名 Osanai, Toshiya
著者名 Ishikawa, Tomoki
著者名 Fujiwara, Kensuke
e-Rad_Researcher 40446539 著者名 Tanikawa, Takumi
e-Rad_Researcher 90229146 著者名 Houkin, Kiyohiro
著者名 Kobayashi, Eiichi
e-Rad_Researcher 90322859 著者名 Ogasawara, Katsuhiko
言語	英語
キーワード	Cost effectiveness
	geographic information system
	ischemic stroke
	endovascular thrombectomy
	drive and retrieve system
発行日	2019-08
出版者	Elsevier
収録物名	Journal of stroke & cerebrovascular diseases
巻(号)	28(8)
ページ	2292-2301
抄録	Background and Purpose: Although endovascular thrombectomy combined with recombinant tissue-type plasminogen activator is effective for treatment of acute ischemic stroke, regional disparities in implementation rates of those treatments have been reported. Drive and retrieve system, where a qualified neurointerventionist travels to another primary stroke center for endovascular thrombectomy, has been practiced in parts of Hokkaido, Japan. This study aims to simulate the cost effectiveness of the drive and retrieve system, which can be a method to enhance equality and cost effectiveness of treatments for acute ischemic stroke. Materials and methods: The number of patients who had acute ischemic stroke in 2015 is estimated. Those patients are generated according to the population distribution, and thereafter patient transport time is analyzed in the 3 scenarios (1) 60-minute drive scenario, (2) 90-minute drive scenario, in which the drive and retrieve system operates within 60-minute or 90-minute driving distance (3) without the system, using geographic information system. Incremental cost-effectiveness rate, quality-adjusted life years, and medical and nursing care costs are estimated from the analyzed transport time. Findings: The incremental cost-effectiveness rate by implementing the system was dominant. Cost reductions of $213,190 in 60-minute drive scenario, and $247,274 in the 90-minute scenario were expected, respectively. Such benefits are the most significant in Soya, Emmon, Rumoi, and Kamikawahokubu medical areas. Conclusions: The drive and retrieve system could enhance regional equality and cost effectiveness of ischemic stroke treatments in Hokkaido, which can be achieved using existing resources. Further studies are required to clarify its cost effectiveness from hospital perspective.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	1052-3057
関連情報	PMID 31200963
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.05.020