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Cost-effectiveness analysis of simulation-based training in transesophageal echocardiography ; Cost-effectiveness analysis of simulation-based training in transesophageal echocardiography: Insights from the SIMULATOR trial

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  • معلومة اضافية
    • Contributors:
      Hôpital Lariboisière-Fernand-Widal APHP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP); Marqueurs cardiovasculaires en situation de stress (MASCOT (UMR_S_942 / U942)); Institut National de la Santé et de la Recherche Médicale (INSERM)-Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal Paris; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord; Epidémiologie des Maladies Chroniques en zone tropicale (EpiMaCT); Institut de Recherche pour le Développement (IRD)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-OmégaHealth (ΩHealth); Université de Limoges (UNILIM)-Université de Limoges (UNILIM); CHU Amiens-Picardie; Mécanismes physiopathologiques et conséquences des calcifications cardiovasculaires - UR UPJV 7517 (MP3CV); Université de Picardie Jules Verne (UPJV)-CHU Amiens-Picardie; Centre cardiologique du Nord (CCN); Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Pontchaillou; Laboratoire Traitement du Signal et de l'Image (LTSI); Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM); Service de cardiologie et maladies vasculaires CHU Ambroise Paré; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Ambroise Paré AP-HP; Université Paris-Saclay; Université de Versailles Saint-Quentin-en-Yvelines (UVSQ); Centre de recherche en épidémiologie et santé des populations (CESP); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay; Centre Hospitalier Régional Universitaire de Tours (CHRU Tours); Centre Hospitalier Régional Universitaire CHU Lille (CHRU Lille); Récepteurs Nucléaires, Maladies Métaboliques et Cardiovasculaires - U 1011 (RNMCD); Institut Pasteur de Lille; Pasteur Network (Réseau International des Instituts Pasteur)-Pasteur Network (Réseau International des Instituts Pasteur)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire CHU Lille (CHRU Lille); CHU Rouen; Normandie Université (NU); Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon); CMC Ambroise Paré Neuilly-sur-Seine; Centre Hospitalier Universitaire d'Angers (CHU Angers); PRES Université Nantes Angers Le Mans (UNAM); Centre Hospitalier Régional Universitaire de Brest (CHRU Brest); Institut mutualiste Monsouris (IMM); Hôpital Nord CHU - APHM; Hôpital Louis Pradel CHU - HCL; Hospices Civils de Lyon (HCL); Institut du Thorax Nantes; None
    • بيانات النشر:
      CCSD
      Elsevier
      Société française de cardiologie [2008-.]
    • الموضوع:
      2024
    • Collection:
      Université de Limoges: HAL
    • نبذة مختصرة :
      International audience ; IntroductionRecently our working group has shown that simulation-based training provides a significant improvement in TEE theoretical knowledge and practical skills, and with a statistically significant 1.1-minute reduction in TEE examination after the training compared to traditional education within the SIMULATOR trial.ObjectiveThis ancillary analysis of the SIMULATOR-trial was designed to perform a cost analysis of simulation-based training on TEE learning using incremental cost-effectiveness ratio compared to traditional teaching to enlighten the decision-making process of financing this type of program.MethodBetween November 2020 and November 2021, 342 consecutive cardiology fellows inexperienced from TEE were randomized (1:1, n = 324) through 42 French university centers into two groups with or without simulation support. Regarding the economic analysis, costs associated with simulation-based training were measured based on data collected by representatives in each hospital center (simulator cost, maintenance cost, simulator duration of use, hourly trainer income, number of training hours). Three scenarios were considered depending on the number of fellows recruited in each University Hospital Center (n = 20, 40 or 60). An average training cost per fellow has been estimated for each scenario. Given the primary outcome and the cost analysis result, an incremental cost-effectiveness ratio (ICER, cost per point gained to the global score) has been assessed.ResultsCompared to the traditional group, the cost to gain two points in the global score (i.e. 1% of both theoretical knowledge and practical skills) in the simulation group was respectively €140.4, €74.6, and €52.4 per fellows for 20, 40 and 60 fellows. Therefore, the average additional cost per fellow of the simulation program was respectively €1,785, €942 or €662 for 20, 40 and 60 fellows. Using the incremental cost-effectiveness ratio (ICER), the ICER, cost per point gained to the global score of the simulation program ...
    • الرقم المعرف:
      10.1016/j.acvd.2023.10.290
    • الدخول الالكتروني :
      https://u-picardie.hal.science/hal-04473437
      https://u-picardie.hal.science/hal-04473437v1/document
      https://u-picardie.hal.science/hal-04473437v1/file/Pezel%20et%20al.%20-%202024%20-%20Cost-effectiveness%20analysis%20of%20simulation-based%20tr.pdf
      https://doi.org/10.1016/j.acvd.2023.10.290
    • Rights:
      http://creativecommons.org/licenses/by-nc/
    • الرقم المعرف:
      edsbas.BE66ABDC