Budget impact analysis of the percutaneous septal occluder for treatment of ostium secundum atrial septal defects in the Brazilian Unified National Health System

• Main Authors: Kátia Marie Simões e Senna, Flavia Mori Sarti, Márcia Gisele Santos da Costa, Marcelo Eidi Nita, Marisa da Silva Santos, Bernardo Rangel Tura, Marcelo Goulart Correia
• Format: Article
• Language: English
• Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2015-08-01
• Series: Cadernos de Saúde Pública
• Subjects: Defectos de los Tabiques Cardíacos; Dispositivo Oclusor Septal; Tecnología Biomédica; Cirurgía Torácica; Evaluación en Salud
• Online Access: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2015000801756&lng=en&tlng=en

The aim of this study was to perform a budget impact analysis on the adoption of percutaneous occlusion of ostium secundum atrial septal defects in the Brazilian Unified National Health System. Costs were collected using micro-costing technique from medical records for each treatment technique (conventional surgery versus percutaneous septal occluder) at a public federal hospital specialized in high-complexity cardiology. The analysis showed that expenditures associated with percutaneous occlusion were lower than with conventional surgery, and sensitivity analysis confirmed the cost reduction in several scenarios, showing a significant budget impact with a 30% adoption rate for the percutaneous occluder (savings of approximately 1.5 million dollars per year). The study indicates that the adoption of the percutaneous septal occluder would mean cost savings of approximately 3.5 million dollars for the Brazilian public health system.