News | Peripheral Artery Disease (PAD) | July 17, 2019

Annual U.S. Economic Burden of Critical Limb Ischemia Exceeds $200 Billion

New report from The Sage Group finds inpatient hospitalizations account for majority of costs

Annual U.S. Economic Burden of Critical Limb Ischemia Exceeds $200 Billion

July 17, 2019 — A new analysis published by The Sage Group LLC concludes that the all-cause cost of critical limb ischemia (CLI) exceeds $200 billion in the United States.

“CLI is an extremely expensive disease,” stated Mary L. Yost, president of The Sage Group, a research and consulting company specializing in peripheral vascular disease in the lower limbs — specifically chronic venous disease (CVD), peripheral artery disease (PAD), CLI, IC, diabetic foot ulcers (DFU) and the costs and consequences of amputation. “Inpatient hospitalizations account for the majority of costs with Medicare paying 73 percent of the bill.”

“Treatment with major amputation is one well-known factor that increases CLI costs,” observed Yost. “Amazingly, revascularization is underutilized in CLI patients. Between 25-33 percent of CLI patients are treated with primary amputation, which is more expensive than revascularization. The higher hospital costs of major amputation reflect more frequent and expensive complications, increased in-hospital mortality and more revision procedures,” she stated.

“However, there are many other factors that drive up CLI costs,” she continued. “Most of these, including amputation, are either modifiable or preventable.”

“Costs increase with disease severity,” Yost stated, “Rutherford 6 patients with gangrene incur higher costs than Rutherford 4 and 5 with rest pain and ulcers respectively. CLI treatment costs more than intermittent claudication (IC).”

“CLI-specific treatments are not the only factor increasing spending — cardiovascular events, such as heart attacks and strokes and related hospitalizations, add significantly to the economic burden,” Yost explained. “So does diabetes and diabetic hospitalizations.”

“Despite a high prevalence of cardiovascular disease and diabetes, cardiovascular risk factors and diabetes are suboptimally managed in CLI patients. This increases morbidity and mortality as well as costs, “ she continued.

“The tragedy is that earlier diagnosis of CLI and appropriate treatment, could save lives and limbs, as well as a tremendous amount of money,” concluded Yost.

CLI, or end-stage peripheral artery disease (PAD), is characterized by rest pain, ulcers and gangrene.

Read more about the report here.

For more information: www.thesagegroup.us

Related Content

News | Peripheral Artery Disease (PAD) | November 14, 2019
November 7, 2019 — Ultrasoundplasty before angioplasty for below-the-knee lesions (BTK) lesions may improve clinical
News | Peripheral Artery Disease (PAD) | November 14, 2019
November 14, 2019 — There were positive results in the TANGO Trial is a phase 2, dose escalation, double-blinded tria
The LimFlow procedure permanently bypasses unreconstructable arteries and leverages healthier veins as a conduit to create new routes to perfuse tissue in the foot.  #VIVA #VIVA19 #VIVA2019

The LimFlow procedure permanently bypasses unreconstructable arteries and leverages healthier veins as a conduit to create new routes to perfuse tissue in the foot. 

News | Peripheral Artery Disease (PAD) | November 14, 2019
November 14, 2019 — Results were positive for the multicenter PROMISE I Trial represents the first human use in the U
Eluvia and Ranger PAD devices from Boston Scientific. #VIVA19 #VIVA2019 #VIVA
News | Peripheral Artery Disease (PAD) | November 06, 2019
November 6, 2019 – Boston Scientific announced positive data for two of its devices within the peripheral drug-elutin
FDA Panel Recommends Continued Use of Paclitaxel-coated Peripheral Devices
Feature | Peripheral Artery Disease (PAD) | August 28, 2019 | Jeff Zagoudis, Associate Editor
The U.S. Food and Drug Administration (FDA) released an updated MedWatch Alert this month on the safety of paclitaxel-...
New Report Says Concept Medical Positioned to Disrupt Peripheral Market
News | Peripheral Artery Disease (PAD) | August 27, 2019
Concept Medical was recently granted Breakthrough Therapy designation by the U.S. Food and Drug Administration (FDA)...
PAD Intervention Patients on Statins Less Likely to Face Amputation
News | Peripheral Artery Disease (PAD) | August 23, 2019
Patients with peripheral artery disease (PAD) were significantly less likely to face amputation after surgical...
Concept Medical Granted FDA Breakthrough Device Designation for MagicTouch PTA Sirolimus Coated Balloon
News | Peripheral Artery Disease (PAD) | August 14, 2019
Concept Medical Inc. (CMI) has been granted "Breakthrough Device Designation" from the U.S. Food and Drug...
New AHA Statement Highlights Need for Early Diagnosis, Treatment With Critical Limb IschemiaCTA image of a patient with severe peripheral artery disease (PAD) viewed on a tablet device using Siemens syngo.via webviewer.

CTA image of a patient with severe peripheral artery disease (PAD) viewed on a tablet device using Siemens syngo.via webviewer. PAD can lead to CLI.

News | Peripheral Artery Disease (PAD) | August 13, 2019
Non-invasive techniques and devices for assessing blood flow and other diagnostic considerations for people with ...
Endovascular-first Approach Equal to Open Surgery in Avoiding Amputation for Critical Limb Ischemia
News | Peripheral Artery Disease (PAD) | August 01, 2019
Less-invasive procedures to open severely clogged leg arteries were as good at helping people survive and avoid...
Overlay Init