Impact of in-clinic follow-up visits in patients with implantable cardioverter defibrillators

Demographic and socioeconomic analysis of the TARIFF study population

Renato P. Ricci, Alfredo Vicentini, Antonio D'Onofrio, Antonio Sagone, Antonio Vincenti, Luigi Padeletti, Loredana Morichelli, Antonio Fusco, Filippo Vecchione, Francesco Lo Presti, Alessandra Denaro, Annalisa Pollastrelli, Massimo Santini

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Purpose: Remote monitoring of cardiac implantable electronic devices has been demonstrated to safely reduce frequency of hospital visits. Limited studies are available evaluating the economic impact. The aim of this article is to highlight the social impact and costs for the patients associated with hospital visits for routine device follow-up at the enrollment visit for the TARIFF study (NCT01075516). Methods: TARIFF is a prospective, cohort, observational study designed to compare the costs and impact on quality of life between clinic-based and remote care device follow-up strategies. Results: Two hundred nine patients (85.2 % males) were enrolled in the study; 153 patients (73.2 %) were retired, 36 (17.2 %) were active workers, 18 (8.6 %) were housewives, and 2 (1.0 %) were looking for a job. Among active workers, 63.9 % required time off from work to attend the hospital visit, while 67.0 % of all patients had to interrupt daily activities. The majority of patients spent half a day or more attending the visit. A carer accompanied 77 % of patients. Among carers, 36.6 % required time off from work, and 77.6 % had to interrupt daily activities. Median distance traveled was 36 km. The average cost of travel was 10 euros with 25 % of patients spending more than 30 euros. Conclusions: Data from patients enrolled in the TARIFF registry confirm that there are social and economic impacts to patients attending routine device checks in hospital which can be significantly reduced by using a remote monitoring strategy.

Original languageEnglish
Pages (from-to)101-106
Number of pages6
JournalJournal of Interventional Cardiac Electrophysiology
Volume38
Issue number2
DOIs
Publication statusPublished - Nov 2013

Fingerprint

Implantable Defibrillators
Demography
Population
Equipment and Supplies
Costs and Cost Analysis
Caregivers
Economics
Aftercare
Social Change
Observational Studies
Registries
Cohort Studies
Quality of Life

Keywords

  • Implantable cardioverter defibrillator
  • Patient acceptance
  • Reimbursement
  • Remote monitoring
  • Social costs
  • Telemedicine

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Impact of in-clinic follow-up visits in patients with implantable cardioverter defibrillators : Demographic and socioeconomic analysis of the TARIFF study population. / Ricci, Renato P.; Vicentini, Alfredo; D'Onofrio, Antonio; Sagone, Antonio; Vincenti, Antonio; Padeletti, Luigi; Morichelli, Loredana; Fusco, Antonio; Vecchione, Filippo; Lo Presti, Francesco; Denaro, Alessandra; Pollastrelli, Annalisa; Santini, Massimo.

In: Journal of Interventional Cardiac Electrophysiology, Vol. 38, No. 2, 11.2013, p. 101-106.

Research output: Contribution to journalArticle

Ricci, RP, Vicentini, A, D'Onofrio, A, Sagone, A, Vincenti, A, Padeletti, L, Morichelli, L, Fusco, A, Vecchione, F, Lo Presti, F, Denaro, A, Pollastrelli, A & Santini, M 2013, 'Impact of in-clinic follow-up visits in patients with implantable cardioverter defibrillators: Demographic and socioeconomic analysis of the TARIFF study population', Journal of Interventional Cardiac Electrophysiology, vol. 38, no. 2, pp. 101-106. https://doi.org/10.1007/s10840-013-9823-5
Ricci, Renato P. ; Vicentini, Alfredo ; D'Onofrio, Antonio ; Sagone, Antonio ; Vincenti, Antonio ; Padeletti, Luigi ; Morichelli, Loredana ; Fusco, Antonio ; Vecchione, Filippo ; Lo Presti, Francesco ; Denaro, Alessandra ; Pollastrelli, Annalisa ; Santini, Massimo. / Impact of in-clinic follow-up visits in patients with implantable cardioverter defibrillators : Demographic and socioeconomic analysis of the TARIFF study population. In: Journal of Interventional Cardiac Electrophysiology. 2013 ; Vol. 38, No. 2. pp. 101-106.
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abstract = "Purpose: Remote monitoring of cardiac implantable electronic devices has been demonstrated to safely reduce frequency of hospital visits. Limited studies are available evaluating the economic impact. The aim of this article is to highlight the social impact and costs for the patients associated with hospital visits for routine device follow-up at the enrollment visit for the TARIFF study (NCT01075516). Methods: TARIFF is a prospective, cohort, observational study designed to compare the costs and impact on quality of life between clinic-based and remote care device follow-up strategies. Results: Two hundred nine patients (85.2 {\%} males) were enrolled in the study; 153 patients (73.2 {\%}) were retired, 36 (17.2 {\%}) were active workers, 18 (8.6 {\%}) were housewives, and 2 (1.0 {\%}) were looking for a job. Among active workers, 63.9 {\%} required time off from work to attend the hospital visit, while 67.0 {\%} of all patients had to interrupt daily activities. The majority of patients spent half a day or more attending the visit. A carer accompanied 77 {\%} of patients. Among carers, 36.6 {\%} required time off from work, and 77.6 {\%} had to interrupt daily activities. Median distance traveled was 36 km. The average cost of travel was 10 euros with 25 {\%} of patients spending more than 30 euros. Conclusions: Data from patients enrolled in the TARIFF registry confirm that there are social and economic impacts to patients attending routine device checks in hospital which can be significantly reduced by using a remote monitoring strategy.",
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AU - D'Onofrio, Antonio

AU - Sagone, Antonio

AU - Vincenti, Antonio

AU - Padeletti, Luigi

AU - Morichelli, Loredana

AU - Fusco, Antonio

AU - Vecchione, Filippo

AU - Lo Presti, Francesco

AU - Denaro, Alessandra

AU - Pollastrelli, Annalisa

AU - Santini, Massimo

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N2 - Purpose: Remote monitoring of cardiac implantable electronic devices has been demonstrated to safely reduce frequency of hospital visits. Limited studies are available evaluating the economic impact. The aim of this article is to highlight the social impact and costs for the patients associated with hospital visits for routine device follow-up at the enrollment visit for the TARIFF study (NCT01075516). Methods: TARIFF is a prospective, cohort, observational study designed to compare the costs and impact on quality of life between clinic-based and remote care device follow-up strategies. Results: Two hundred nine patients (85.2 % males) were enrolled in the study; 153 patients (73.2 %) were retired, 36 (17.2 %) were active workers, 18 (8.6 %) were housewives, and 2 (1.0 %) were looking for a job. Among active workers, 63.9 % required time off from work to attend the hospital visit, while 67.0 % of all patients had to interrupt daily activities. The majority of patients spent half a day or more attending the visit. A carer accompanied 77 % of patients. Among carers, 36.6 % required time off from work, and 77.6 % had to interrupt daily activities. Median distance traveled was 36 km. The average cost of travel was 10 euros with 25 % of patients spending more than 30 euros. Conclusions: Data from patients enrolled in the TARIFF registry confirm that there are social and economic impacts to patients attending routine device checks in hospital which can be significantly reduced by using a remote monitoring strategy.

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