@article{b31fcfadde184da78e2a263a07566d62,
title = "National indication document and aortic valve replacement landscape in the Netherlands",
abstract = "Introduction: Based on European guidelines, transcatheter aortic valve implementation (TAVI) could be the therapy of choice in patients with severe aortic stenosis aged ≥ 75 years. In the Netherlands, there has been a debate between healthcare providers and the National Health Care Institute regarding reimbursement for TAVI, which resulted in an indication document that defines TAVI patients who are eligible for reimbursement. This document has been effective since 1 January 2021. Methods: We extracted data from the Netherlands Heart Registry for patients who underwent biological surgical aortic valve replacement (SAVR) or TAVI in the Netherlands from 2018 through 2021. We compared baseline characteristics and variables from the indication document for the subsequent years and age groups. We also analysed the annual SAVR/TAVI ratio. Results: The total number of patients treated with SAVR or TAVI was constant in 2018–2021. Baseline characteristics of patients treated with TAVI did not differ throughout the years. The SAVR/TAVI ratio shifted towards a higher percentage of TAVI from 2018 to 2019. From 2019 to 2020, the TAVI percentage was constant. Since the implementation of the indication document (in 2021), a change in the SAVR/TAVI ratio was not found either. Conclusion: Since the implementation of the national indication document for AVR in 2021, no major effect was seen for the SAVR versus TAVI landscape in the Netherlands.",
keywords = "Indication document, NHR, SAVR, TAVI",
author = "Rob Eerdekens and {van Steenbergen}, Gijs and {el Farissi}, Mohamed and Jesse Demandt and {van {\textquoteright}t Veer}, Marcel and Edgar Daeter and Leo Timmers and {de Weger}, Arend and {the Transcatheter Heart Valve Intervention Registry Committee} and Niki Medendorp and Pim Tonino and {Cardiothoracic Surgery Registry Committee of the Netherlands Heart Registry} and {van den Branden}, B. and Vis, {M. M.} and Tonino, {W. A. L.} and {van Mieghem}, {N. M. D. A.} and Schotborgh, {C. E.} and R. Hermanides and {van der Kley}, F. and S. Kats and F. Porta and Stoel, {M. G.} and G. Amoroso and {van Wely}, M. and L. Timmers and M. Voskuil and {van der Werf}, {H. W.} and S. Bramer and {van Boven}, {W. J. P.} and Vonk, {A. B. A.} and Koene, {B. M. J. A.} and Bekkers, {J. A.} and Hoohenkerk, {G. J. F.} and Markou, {A. L. P.} and {de Weger}, A. and P. Segers and F. Porta and Speekenbrink, {R. G. H.} and W. Stooker and Li, {W. W. L.} and Daeter, {E. J.} and {van der Kaaij}, {N. P.} and Y. Douglas",
note = "Funding Information: Dr. S. Bramer (Cardiothoracaal Chirurg, Amphia Ziekenhuis); Dr. W.J.P. van Boven (Cardiothoracaal Chirurg, Amsterdam UMC, locatie AMC); Dr. A.B.A. Vonk (Cardiothoracaal Chirurg, Amsterdam UMC, locatie VUMC); Dhr. B.M.J.A. Koene (Cardiothoracaal Chirurg, Catharina Ziekenhuis); Dr. J.A. Bekkers (Cardiothoracaal Chirurg, Erasmus MC); Dr. G.J.F. Hoohenkerk (Cardiothoracaal Chirurg, HagaZiekenhuis); Dr. A.L.P. Markou (Cardiothoracaal Chirurg, Isala); Dhr. A. de Weger (Cardiothoracaal Chirurg, Leids Universitair Medisch Centrum); Dr. P. Segers (Cardiothoracaal Chirurg, Maastricht UMC+); Dhr. F. Porta (Cardiothoracaal Chirurg, Medisch Centrum Leeuwarden); Dr. R.G.H. Speekenbrink (Cardiothoracaal Chirurg, Medisch Spectrum Twente); Dr. W. Stooker (Cardiothoracaal Chirurg, Onze Lieve Vrouwe Gasthuis); Dhr. W.W.L. Li (Cardiothoracaal Chirurg, Radboudumc); Dhr. E.J. Daeter (Cardiothoracaal Chirurg, St. Antonius Ziekenhuis); Dr. N.P. van der Kaaij (Cardiothoracaal Chirurg, UMC Utrecht); Dr. Y. Douglas (Cardiothoracaal Chirurg, Universitair Medisch Centrum Groningen) Dr. B. van den Branden (Interventiecardioloog, Amphia Ziekenhuis); Dr. M.M. Vis (Interventiecardioloog, Amsterdam UMC); Dr. W.A.L. Tonino (Interventiecardioloog, Catharina Ziekenhuis); Prof. dr. N.M.D.A. van Mieghem (Interventiecardioloog, Erasmus Medisch Centrum); Dhr. C.E. Schotborgh (Interventiecardioloog, HagaZiekenhuis); Dr. R. Hermanides (Interventiecardioloog, Isala); Dhr. F. van der Kley (Interventiecardioloog, Leids Universitair Medisch Centrum); Dr. S. Kats (Cardiothoracaal Chirurg, Maastricht UMC+); Dhr. F. Porta (Cardiothoracaal Chirurg, Medisch Centrum Leeuwarden); Dr. M.G. Stoel (Interventiecardioloog, Medisch Spectrum Twente); Dr. G. Amoroso (Interventiecardioloog, Onze Lieve Vrouwe Gasthuis); Mevr. M. van Wely (Cardioloog, Radboudumc); Dr. L. Timmers (Interventiecardioloog, St. Antonius Ziekenhuis); Dr. M. Voskuil (Interventiecardioloog, UMC Utrecht); Dhr. H.W. van der Werf (Interventiecardioloog, Universitair Medisch Centrum Groningen) None. Publisher Copyright: {\textcopyright} 2023, The Author(s).",
year = "2023",
month = dec,
day = "1",
doi = "https://doi.org/10.1007/s12471-023-01811-1",
language = "English",
volume = "31",
pages = "473--478",
journal = "Netherlands heart journal",
issn = "1568-5888",
publisher = "Bohn Stafleu van Loghum",
number = "12",
}