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Cost-effectiveness of new left ventricular assist devices (LVADS) for patients with advanced heart failure : analysis of the UK NHS bridge to transplant (BTT) programme
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Clarke, Aileen, Pulikottil-Jacob, Ruth, Connock, M., Suri, G., Kandala, Ngianga-Bakwin, Maheswaran, Hendramoorthy, Banner, R. and Sutcliffe, P. (Paul) (2013) Cost-effectiveness of new left ventricular assist devices (LVADS) for patients with advanced heart failure : analysis of the UK NHS bridge to transplant (BTT) programme. Journal of Epidemiology and Community Health, Volume 67 (Number 1). Article number A49. doi:10.1136/jech-2013-203126.101 ISSN 0143-005X.
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Official URL: http://dx.doi.org/10.1136/jech-2013-203126.101
Abstract
Background: Public health measures aim to prevent people from reaching tertiary prevention or palliative or heroic care. Nevertheless these remain the only options for some people. There is an expanding population with very severe heart failure and although heart transplant is the optimal treatment, this option is dependent on a diminishing supply of donor hearts. For more than a decade, the NHS has supported the transplant programme for patients awaiting a donor heart with a ‘bridge to transplant’ programme - surgical implantation of a mechanical pump to support left ventricular function called a Left Ventricular Assist Device (LVAD). Alternatively individuals waiting for a heart receive medical management with drugs such as intravenous inotropes.
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