Analysis of Requirement of Implantation for Implantable Cardioverter Defibrillator in the Russian Federation
Author(s)
Seryapina Y1, Pustovalov D2, Fedyaev D2, Musina NZ3, Omelyanovskiy V3
1Center of Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation, Moscow, MOW, Russia, 2Center of Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, 3Center of Healthcare Quality Assessment and Control, Moscow, MOW, Russia
Presentation Documents
OBJECTIVES: Sudden cardiac death (SCD) is one of the leading causes of death in people of working age. Implantable Cardioverter Defibrillator (ICD) should be considered as the primary means of preventing SCD. The number of ICD in Russia is 19.4 per 1 million people (2 841 implantations in 2019), but in the countries of Western and Eastern Europe this indicator is approximately 10 times higher. This study aims to estimate the number of patients requiring ICD treatment due to SCD-associated diseases in Russia. METHODS: The calculations were carried out using information on the population of Russia. Incidence was modelled based on the hospital bills data in 2019 and expert assessment of the proportion of patients with SCD-associated diseases who potentially required ICD. The modelling does not include patients who have already undergone ICD due to SCD-associated diseases. RESULTS: The incidence rate of SCD-associated diseases was 277,8 cases per 100,000 population over 18 years old. The number of patients requiring ICD treatment in Russia estimated as 86 316, where 47,9% patients require single-chamber ICD, 46,3% - dual-chamber ICD and 5,8% - triple-chamber ICD. The highest requirement for ICD showed for diagnoses (according to International Classification of Diseases, Tenth Revision): I25.5 – 22,13%, I42.0 – 22,81%, I49.8 – 15,48%. The estimate is the one-time implantation requirement as of 2019 and do not represent the annual number of ICD in Russia. CONCLUSION: The modelling showed significant volume of insufficient requirement for ICD compared to actual number of implantations. Ensuring the availability of ICD for the entire target population of patients can be achieved by providing the legislative possibility of ICD treatment to a wide range of hospitals.
Conference/Value in Health Info
2021-11, ISPOR Europe 2021, Copenhagen, Denmark
Value in Health, Volume 24, Issue 12, S2 (December 2021)
Code
POSA226
Topic
Epidemiology & Public Health, Health Policy & Regulatory, Health Service Delivery & Process of Care, Medical Technologies
Topic Subcategory
Disease Management, Medical Devices, Public Spending & National Health Expenditures
Disease
Cardiovascular Disorders, Medical Devices
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