Medical Journal of the Islamic Republic Of Iran

en Cost-Effectiveness of Remote Cardiac Monitoring With the CardioMEMS Heart Failure System: A Systematic Review Cardiology Cardiology Systematic Review Background: Heart Failure (HF) imposes a relevant burden and a considerable health concern, with high prevalence and mortality rates. This study was conducted to assess the cost-effectiveness of remote cardiac monitoring with the CardioMEMS Heart Failure System.    Methods: In the present systematic review, several scholarly databases were searched and updated from inception up to September 20, 2022. The objective of the present review was formulated according to the patient/population, intervention, comparison and outcomes format. Mortality rate, hospitalization rate, quality-adjusted life year (QALY), total costs, and the incremental cost-effectiveness ratio regarding the use of the CardioMEMS System were the key outcomes of the present study. The quality of included studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS) checklist.    Results: Finally, 5 articles were retained and analyzed in the present systematic review. All studies employed the Markov and decision tree models. Results show that the CardioMEMS system reduced mortality and hospitalization rate and created a higher QALY. In all selected countries the CardioMEMS method is a more expensive method than the standard of care (SoC), with the highest cost in the United States (US) ($201,437) and the lowest cost in the United Kingdom ($25,963), respectively. the highest willingness to pay in the US and the lowest in Italy ($100,000 and $33,000 per QALY), respectively. Results showed that the most cost per QALY for the CardioMEMS system was in the US and the lowest was in the Netherlands ($46,622 and $26,615 per QALY), respectively.    Conclusion: In all selected countries, CardioMEMS is a cost-effective method for monitoring and managing pulmonary artery pressures in HF patients. Strategies such as CardioMEMS, which decrease the rate of hospitalization, are likely to be only more cost-effective in the future.   CardioMEMS System, Heart Failure, Pulmonary Artery Pressures, Cost-Effectiveness, Systematic Review 106 117 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-7834-1&slc_lang=en&sid=1 Samad Azari صمد آذری Samadazari1010@gmail.com 200319475328460076291 200319475328460076291 No Department of Health Management and Economics, Faculty of Medicine, Aja University of Medical Sciences, & Research Center for Emergency and Disaster Resilience, Red Crescent Society of the Islamic Republic of Iran, Tehran, Iran Seyed Hosein Mousavi dr.shmusavi@ajams.ac.ir 200319475328460076292 200319475328460076292 No Department of Cardiology, School of Medicine and Trauma Research Center, Aja University of Medical Sciences, Tehran, Iran Nader Markazi moghaddam nmmoghaddam@gmail.com 200319475328460076293 200319475328460076293 No Department of Health Management and Economics, Faculty of Medicine, Aja University of Medical Sciences, & Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Aziz Rezapour rezapoor_a57@yahoo.com 200319475328460076294 200319475328460076294 No Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran Sanaz Zargar Balaye Jame sanazzargar@gmail.com 200319475328460076295 200319475328460076295 Yes Department of Health Management and Economics, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran Pirhossein Kolivand pirhossein@yahoo.com 200319475328460076296 200319475328460076296 No Department of Health Economics, Faculty of Medicine, Shahed University, Tehran, Iran Ali Sarabi Asiabar ali.sarabi@gmail.com 200319475328460076297 200319475328460076297 No Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran