{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T21:11:40Z","timestamp":1783977100651,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008497","name":"Boston Scientific Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Remote monitoring of implantable cardioverter\u2010defibrillators has been associated with reduced rates of all\u2010cause rehospitalizations and mortality among device recipients, but long\u2010term economic benefits have not been studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>An economic model was developed using the PREDICT RM database comparing outcomes with and without remote monitoring. The database included patients ages 65 to 89 who received a Boston Scientific device from 2006 to 2010. Parametric survival equations were derived for rehospitalization and mortality to predict outcomes over a maximum time horizon of 25 years. The analysis assessed rehospitalization, mortality, and the cost\u2010effectiveness (expressed as the incremental cost per quality\u2010adjusted life year) of remote monitoring versus no remote monitoring. Remote monitoring was associated with reduced mortality; average life expectancy and average quality\u2010adjusted life years increased by 0.77 years and 0.64, respectively (6.85 life years and 5.65 quality\u2010adjusted life years). When expressed per patient\u2010year, remote monitoring patients had fewer subsequent rehospitalizations (by 0.08 per patient\u2010year) and lower hospitalization costs (by $554 per patient year). With longer life expectancies, remote monitoring patients experienced an average of 0.64 additional subsequent rehospitalizations with increased average lifetime hospitalization costs of $2784. Total costs of outpatient and physician claims were higher with remote monitoring ($47\u2009515 vs $42\u2009792), but average per patient\u2010year costs were lower ($6232 vs $6244). The base\u2010case incremental cost\u2010effectiveness ratio was $10\u2009752 per quality\u2010adjusted life year, making remote monitoring high\u2010value care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Remote monitoring is a cost\u2010effective approach for the lifetime management of patients with implantable cardioverter\u2010defibrillators.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13934","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T13:23:12Z","timestamp":1554211392000},"page":"1066-1077","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Outcomes and costs of remote patient monitoring among patients with implanted cardiac defibrillators: An economic model based on the PREDICT RM database"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3081-0277","authenticated-orcid":false,"given":"James P.","family":"Hummel","sequence":"first","affiliation":[{"name":"Division of Cardiology University of Wisconsin School of Medicine and Public Health Madison Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Leipold","sequence":"additional","affiliation":[{"name":"Evidera Bethesda Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey L.","family":"Amorosi","sequence":"additional","affiliation":[{"name":"Boston Scientific Corporation Marlborough Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haikun","family":"Bao","sequence":"additional","affiliation":[{"name":"Yale University School of Medicine and Center for Outcomes Research and Evaluation, Yale\u2010New Haven Hospital New Haven Connecticut; 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