• Information Technology
  • Human Resources
  • Careers
  • Giving
  • Library
  • Bookstore
  • Active Living
  • Continuing Education
  • Go Dinos
  • UCalgary Maps
  • UCalgary Directory
  • Academic Calendar
My UCalgary
Webmail
D2L
ARCHIBUS
IRISS
  • Faculty of Arts
  • Cumming School of Medicine
  • Faculty of Environmental Design
  • Faculty of Graduate Studies
  • Haskayne School of Business
  • Faculty of Kinesiology
  • Faculty of Law
  • Faculty of Nursing
  • Faculty of Nursing (Qatar)
  • Schulich School of Engineering
  • Faculty of Science
  • Faculty of Social Work
  • Faculty of Veterinary Medicine
  • Werklund School of Education
  • Information TechnologiesIT
  • Human ResourcesHR
  • Careers
  • Giving
  • Library
  • Bookstore
  • Active Living
  • Continuing Education
  • Go Dinos
  • UCalgary Maps
  • UCalgary Directory
  • Academic Calendar
  • Libraries and Cultural Resources
View Item 
  •   PRISM Home
  • Graduate Studies
  • The Vault: Electronic Theses and Dissertations
  • View Item
  •   PRISM Home
  • Graduate Studies
  • The Vault: Electronic Theses and Dissertations
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

The Safety and Cost-Effectiveness of Carotid Angioplasty and Stenting in Calgary

Thumbnail
View
ucalgary_2012_almekhlafi_mohammed.pdf
Download
ucalgary_2012_almekhlafi_mohammed.pdf (2.647Mb)
Advisor
Hill, Michael D
Author
Almekhlafi, Mohammed
Accessioned
2012-09-28T15:36:56Z
Available
2012-11-13T08:01:42Z
Issued
2012-09-28
Submitted
2012
Other
economics
Subject
Epidemiology
Type
Thesis
Metadata
Show full item record

Abstract
Objectives To evaluate the safety and cost of carotid stenting in Calgary. Methods A cost-utility analysis from the perspective of the Canadian health care system was performed comparing stenting to endarterectomy using a decision analytic model. A prospective cohort study was done for trans cranial Doppler monitoring during stenting procedures. Findings were correlated with 24-hour MRI brain lesions using a binomial regression model. Results Stenting was more expensive than endarterectomy ($6106.84 incremental cost) and had a lower effectiveness (- 0.12 QALYs). Results were influenced by the procedure costs and were sensitive to patients’ characteristics. In 26 subjects who underwent stenting, MRI lesions were detected in 76%. Procedural monitoring showed a median of 224.5 emboli. Large emboli correlated with MRI lesions after adjusting for age and symptoms status. Conclusion To improve the outcomes of carotid stenting, research should aim to improve the procedure safety without increasing its costs.
Corporate
University of Calgary
Faculty
Graduate Studies
Doi
http://dx.doi.org/10.11575/PRISM/28375
Uri
http://hdl.handle.net/11023/238
Collections
  • The Vault: Electronic Theses and Dissertations

Browse

All of PRISMCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

My Account

LoginRegister

Statistics

Most Popular ItemsStatistics by CountryMost Popular Authors

  • Email
  • SMS
  • 403.220.8895
  • Live Chat

Energize: The Campaign for Eyes High

Privacy Policy
Website feedback

University of Calgary
2500 University Drive NW
Calgary, AB T2N 1N4
CANADA

Copyright © 2017