{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:12:50Z","timestamp":1781651570094,"version":"3.54.5"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T00:00:00Z","timestamp":1553212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Purpose: To evaluate the total midterm costs and cost-effectiveness of percutaneous transluminal angioplasty with optional stenting (PTA\/S) as initial treatment compared with femoropopliteal bypass (FPB) surgery in patients with medium-length TransAtlantic Inter-Society Consensus II (TASC) B and C femoropopliteal lesions. Materials and Methods: Over a period of 3 years, all hospital health care costs for 226 consecutive patients were calculated: 170 patients with a TASC B lesion and 56 patients with a TASC C lesion. In the 135-patient PTA\/S group (mean age 69.9\u00b110.9 years; 83 men), 108 (63.5%) patients had TASC B lesions and 27 (48.2%) patients had TASC C lesions. Ninety-one patients (mean age 68.4\u00b110.9 years; 60 men) were treated with FPB for 62 TASC B and 29 TASC C femoropopliteal lesions. The main outcome measure was the primary patency rate at 3-year follow-up. Multiple imputation and bootstrapping techniques were used to analyze the data. The adjusted incremental cost-effectiveness ratios (ICERs) were calculated by dividing the difference in total costs by the difference in 3-year primary patency rate. Costs were expressed in euros (\u20ac), and cost differences are presented with the 95% confidence interval (CI). Results: Mean total costs per patient were \u20ac29,058 in the PTA\/S treatment group vs \u20ac42,437 in the FPB group (mean adjusted difference \u2013\u20ac14,820, 95% CI \u2013\u20ac29,044 to \u2212\u20ac5976). Differences in 3-year primary patency between PTA\/S and FPB were small and nonsignificant (68.9% and 70.3%, respectively). An ICER of 563,716 was found, indicating that FPB costs \u20ac563,716 more per one extra patient reaching 3-year primary patency in comparison with PTA\/S treatment. Conclusion: FPB in medium-length femoropopliteal lesions involved higher total costs when evaluated over a 3-year follow-up period. An endovascular-first approach is recommended, as this will result in cost minimization for patients with medium-length femoropopliteal disease.<\/jats:p>","DOI":"10.1177\/1526602819833646","type":"journal-article","created":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T04:59:01Z","timestamp":1553230741000},"page":"172-180","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["A Comparative Cost-Effectiveness Analysis of Percutaneous Transluminal Angioplasty With Optional Stenting and Femoropopliteal Bypass Surgery for Medium-Length TASC II B and C Femoropopliteal Lesions"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0634-6227","authenticated-orcid":false,"given":"Rianne J.","family":"Vossen","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Onze Lieve Vrouwe Gasthuis (OLVG) Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilar C.","family":"Philipszoon","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Amsterdam University Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anco C.","family":"Vahl","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Onze Lieve Vrouwe Gasthuis (OLVG) Amsterdam, the Netherlands"},{"name":"Clinical Epidemiology, OLVG Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander D.","family":"Montauban van Swijndregt","sequence":"additional","affiliation":[{"name":"Department of Radiology, OLVG Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa J.","family":"Leijdekkers","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Onze Lieve Vrouwe Gasthuis (OLVG) Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5826-1455","authenticated-orcid":false,"given":"Ron","family":"Balm","sequence":"additional","affiliation":[{"name":"Amsterdam Cardiovascular Sciences, Department of Surgery, Amsterdam University Medical Center, University of Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,3,22]]},"reference":[{"key":"bibr1-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X08089277"},{"key":"bibr2-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2010.03.015"},{"key":"bibr3-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.12.037"},{"key":"bibr4-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7710"},{"key":"bibr5-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.06.016"},{"key":"bibr6-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.02.005"},{"key":"bibr7-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.07.018"},{"key":"bibr8-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.11.031"},{"key":"bibr9-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(99)70110-8"},{"key":"bibr10-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.05.100"},{"key":"bibr11-1526602819833646","doi-asserted-by":"publisher","DOI":"10.3310\/hta14140"},{"key":"bibr12-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818774786"},{"key":"bibr13-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.06.063"},{"key":"bibr14-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.013"},{"key":"bibr15-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2013.02.010"},{"key":"bibr16-1526602819833646","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0140817"},{"key":"bibr17-1526602819833646","unstructured":"Statistics Netherlands. 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