{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:39:56Z","timestamp":1753893596185,"version":"3.41.2"},"reference-count":18,"publisher":"The Journal of Health Economics and Outcomes Research","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JHEOR"],"abstract":"<jats:p>Background: Heart valve disease is very common, with approximately 5 million people diagnosed with this disease annually in the United States. There has been substantial innovation in the technologies and techniques of surgical repair and replacement over the past decade. However, there is little information that allows the potential time savings associated with these technologies and techniques to be quantified from the hospital perspective.\n\nObjectives: The study objective was to estimate the variable cost per operating room (OR) minute in valvular procedures \u2013 aortic valve replacement (AVR), mitral valve replacement (MVR) and mitral valve repair (MVRepair) \u2013 and determine if there is a difference in OR cost per minute between traditional sternal versus less invasive right thoracotomy surgical techniques.\n\nMethods: The Premier database was queried from 2007 to 2011 for patients undergoing AVR, MVR, or MVRepair. Patients were identified using the International Classification of Diseases, 9th Revision (ICD-9) procedure codes. Propensity score matching created cohorts adjusted for patient differences and surgical approach \u2013any sternal incision (Sternal) or right thoracotomy (RT). Regression analysis was performed to estimate the OR cost per minute based on heart valve procedure.\n\nResults: There were 2,656 heart valve procedures \u2013 1,604 AVR, 434 MVR and 618 MVRepair \u2013 that met the inclusion criteria. The mean OR cost per minute for AVR procedures was $26.49 and $25.16 (p &amp;lt;0.01) for Sternal and RT, respectively. MVR procedures by surgical approach had a mean OR cost per minute of $25.66 and $25.00 and (p NS) for Sternal and RT, respectively. MVRepair procedures by surgical approach had a mean OR cost per minute of $25.17 and $24.40 and (p NS) for Sternal and RT, respectively. The overall estimate of the OR cost per minute for valvular procedures was $25.99.\n\nConclusions: Quantifying the variable cost of an OR minute from a multi-institution database provides researchers with an important benchmark to use in economic evaluations of valvular procedures.<\/jats:p>","DOI":"10.36469\/9898","type":"journal-article","created":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T14:45:55Z","timestamp":1571669155000},"page":"170-180","source":"Crossref","is-referenced-by-count":2,"title":["The Cost of an Operating Room Minute for Heart Valve Procedures"],"prefix":"10.36469","volume":"2","author":[{"given":"Eugene A.","family":"Grossi","sequence":"first","affiliation":[{"name":"NYU Langone Medical Center, New York, NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Moore","sequence":"additional","affiliation":[{"name":"Global Health Economic Strategy, Edwards Lifesciences Inc., Irvine, CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Mallow","sequence":"additional","affiliation":[{"name":"CTI Clinical Trial and Consulting Services, Cincinnati, OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Rizzo","sequence":"additional","affiliation":[{"name":"Stony Brook University, Stony Brook, NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22273","published-online":{"date-parts":[[2015,3,9]]},"reference":[{"key":"ref0","unstructured":"Roger VL, Go AS, Lloyd-Jones DM, et al: Heart disease and stroke statistics--2011 update: a report from the American Heart Association.Circulation 2011;123(4):e18-e209."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Nishimura  RA,  Otto  CM,  Bonow  RO,  et  al:  2014  AHA\/ACC  guideline  for  the  management  of   patients with valvular heart disease: a report of  the American College of  Cardiology\/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014;63(22):e57-185.","DOI":"10.1161\/cir.0000000000000029"},{"key":"ref2","unstructured":"Vahanian A, Alfieri O, Andreotti F, et al: Guidelines on the management of  valvular heart disease (version 2012).Eur Heart J 2012;33(19):2451-96."},{"key":"ref3","unstructured":"Weiss AJ, Elixhauser A, Andrews RM: Characteristics of  operating room procedures in U.S. hospitals, 2011. HCUP Statistical Brief  #170.  Rockville, MD: Agency for Healthcare Research and Quality February, 2014.  http:\/\/www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb170-Operating-Room-Procedures-United-States-2011.pdf. Accessed November, 2014."},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Kocher AA, Laufer G, Haverich A, et al: One-year outcomes of  the Surgical Treatment of  Aortic Stenosis With a Next Generation Surgical Aortic Valve (TRITON) trial: a prospective multicenter study  of   rapid-deployment  aortic  valve  replacement  with  the  EDWARDS  INTUITY  Valve  System. J Thorac Cardiovasc Surg 2013;145(1):110-5; discussion 5-6.","DOI":"10.3410\/f.717962045.793465543"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Zannis K, Folliguet T, Laborde F: New sutureless aortic valve prosthesis: another tool in less invasive aortic valve replacement.Curr Opin Cardiol 2012;27(2):125-9.","DOI":"10.1097\/hco.0b013e3283501a11"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Pope NH, Ailawadi G. Minimally invasive valve surgery. 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Accessed November 2014."}],"container-title":["Journal of Health Economics and Outcomes Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/pmid\/34430664\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T14:40:16Z","timestamp":1748875216000},"score":1,"resource":{"primary":{"URL":"http:\/\/jheor.org\/article\/9898"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,9]]},"references-count":18,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.36469\/9898","archive":["Portico","Portico","Portico"],"relation":{},"ISSN":["2327-2236"],"issn-type":[{"type":"electronic","value":"2327-2236"}],"subject":[],"published":{"date-parts":[[2015,3,9]]},"article-number":"9898"}}