{"id":"https://openalex.org/W7224577258","doi":"https://doi.org/10.17749/2070-4909/farmakoekonomika.2026.415","title":"Clinical and economic evaluation of transcatheter edge-to-edge repair with the TriClip system in patients with severe tricuspid regurgitation at high surgical risk in the Russian healthcare system","display_name":"Clinical and economic evaluation of transcatheter edge-to-edge repair with the TriClip system in patients with severe tricuspid regurgitation at high surgical risk in the Russian healthcare system","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224577258","doi":"https://doi.org/10.17749/2070-4909/farmakoekonomika.2026.415"},"language":"en","primary_location":{"id":"doi:10.17749/2070-4909/farmakoekonomika.2026.415","doi":"https://doi.org/10.17749/2070-4909/farmakoekonomika.2026.415","is_oa":true,"landing_page_url":"https://doi.org/10.17749/2070-4909/farmakoekonomika.2026.415","pdf_url":"https://www.pharmacoeconomics.ru/jour/article/download/1506/734","source":{"id":"https://openalex.org/S2764615430","display_name":"FARMAKOEKONOMIKA Modern Pharmacoeconomics and Pharmacoepidemiology","issn_l":"2070-4909","issn":["2070-4909","2070-4933"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/I4210126206","host_organization_name":"Irbis (Czechia)","host_organization_lineage":["https://openalex.org/I4210126206"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.pharmacoeconomics.ru/jour/article/download/1506/734","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055870295","display_name":"L. O. Krekhtunova","orcid":"https://orcid.org/0000-0002-2893-3748","observed_orcids":["https://orcid.org/0000-0002-2893-3748"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L. O. Krekhtunova","raw_affiliation_strings":["Center for Healthcare Quality Assessment and Control"],"raw_orcid":"https://orcid.org/0000-0002-2893-3748","affiliations":[{"raw_affiliation_string":"Center for Healthcare Quality Assessment and Control","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016236149","display_name":"\u041a. I. Matrenin","orcid":"https://orcid.org/0000-0002-1583-5495","observed_orcids":["https://orcid.org/0000-0002-1583-5495"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K. I. Matrenin","raw_affiliation_strings":["Center for Healthcare Quality Assessment and Control"],"raw_orcid":"https://orcid.org/0000-0002-1583-5495","affiliations":[{"raw_affiliation_string":"Center for Healthcare Quality Assessment and Control","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087998928","display_name":"\u0422. S. Teptsova","orcid":"https://orcid.org/0000-0001-5312-1007","observed_orcids":["https://orcid.org/0000-0001-5312-1007"]},"institutions":[{"id":"https://openalex.org/I4210108300","display_name":"Russian Medical Academy of Continuous Professional Education","ror":"https://ror.org/01t6bjk79","country_code":"RU","type":"education","lineage":["https://openalex.org/I4210108300","https://openalex.org/I4210117042"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"T. S. Teptsova","raw_affiliation_strings":["Center for Healthcare Quality Assessment and Control","Russian Medical Academy of Continuing Professional Education"],"raw_orcid":"https://orcid.org/0000-0001-5312-1007","affiliations":[{"raw_affiliation_string":"Center for Healthcare Quality Assessment and Control","institution_ids":[]},{"raw_affiliation_string":"Russian Medical Academy of Continuing Professional Education","institution_ids":["https://openalex.org/I4210108300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017628840","display_name":"\u0421\u043e\u0440\u043e\u043a\u043e\u0432\u0438\u043a\u043e\u0432 \u0418\u0432\u0430\u043d \u0412\u0430\u043b\u0435\u0440\u044c\u0435\u0432\u0438\u0447","orcid":"https://orcid.org/0009-0008-0312-7302","observed_orcids":["https://orcid.org/0009-0008-0312-7302"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"I. V. Sorokovikov","raw_affiliation_strings":["Center for Healthcare Quality Assessment and Control"],"raw_orcid":"https://orcid.org/0009-0008-0312-7302","affiliations":[{"raw_affiliation_string":"Center for Healthcare Quality Assessment and Control","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060354141","display_name":"\u0424. \u041d. \u041f\u0430\u043b\u0435\u0435\u0432","orcid":"https://orcid.org/0000-0001-9481-9639","observed_orcids":["https://orcid.org/0000-0001-9481-9639"]},"institutions":[{"id":"https://openalex.org/I4210147235","display_name":"National Medical Research Center of Cardiology","ror":"https://ror.org/04f17cx55","country_code":"RU","type":"facility","lineage":["https://openalex.org/I4210117042","https://openalex.org/I4210147235"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"F. N. Paleev","raw_affiliation_strings":["Chazov National Medical Research Center for Cardiology"],"raw_orcid":"https://orcid.org/0000-0001-9481-9639","affiliations":[{"raw_affiliation_string":"Chazov National Medical Research Center for Cardiology","institution_ids":["https://openalex.org/I4210147235"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082017706","display_name":"Sergey Anatol'evich Boytsov","orcid":"https://orcid.org/0000-0001-6998-8406","observed_orcids":["https://orcid.org/0000-0001-6998-8406"]},"institutions":[{"id":"https://openalex.org/I4210147235","display_name":"National Medical Research Center of Cardiology","ror":"https://ror.org/04f17cx55","country_code":"RU","type":"facility","lineage":["https://openalex.org/I4210117042","https://openalex.org/I4210147235"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"S. A. Boytsov","raw_affiliation_strings":["Chazov National Medical Research Center for Cardiology"],"raw_orcid":"https://orcid.org/0000-0001-6998-8406","affiliations":[{"raw_affiliation_string":"Chazov National Medical Research Center for Cardiology","institution_ids":["https://openalex.org/I4210147235"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068714046","display_name":"Vitaly Vladimirovich Omelyanovskiy","orcid":"https://orcid.org/0000-0003-1581-0703","observed_orcids":["https://orcid.org/0000-0003-1581-0703"]},"institutions":[{"id":"https://openalex.org/I4210108300","display_name":"Russian Medical Academy of Continuous Professional Education","ror":"https://ror.org/01t6bjk79","country_code":"RU","type":"education","lineage":["https://openalex.org/I4210108300","https://openalex.org/I4210117042"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"V. V. Omelyanovskiy","raw_affiliation_strings":["Center for Healthcare Quality Assessment and Control","Russian Medical Academy of Continuing Professional Education"],"raw_orcid":"https://orcid.org/0000-0003-1581-0703","affiliations":[{"raw_affiliation_string":"Center for Healthcare Quality Assessment and Control","institution_ids":[]},{"raw_affiliation_string":"Russian Medical Academy of Continuing Professional Education","institution_ids":["https://openalex.org/I4210108300"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":15000,"currency":"RUB","value_usd":142},"apc_paid":{"value":15000,"currency":"RUB","value_usd":142},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88125223,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"3","first_page":"439","last_page":"450"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/transcatheter-edge-to-edge-repair","display_name":"transcatheter edge-to-edge repair","score":0.9419999718666077},{"id":"https://openalex.org/keywords/tricuspid-regurgitation","display_name":"tricuspid regurgitation","score":0.9599999785423279},{"id":"https://openalex.org/keywords/high-surgical-risk","display_name":"high surgical risk","score":0.8790000081062317},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.9430000185966492},{"id":"https://openalex.org/keywords/cost-utility-analysis","display_name":"cost-utility analysis","score":0.7279999852180481},{"id":"https://openalex.org/keywords/budget-impact-analysis","display_name":"budget impact analysis","score":0.8769999742507935},{"id":"https://openalex.org/keywords/quality-adjusted-life-years","display_name":"quality-adjusted life years","score":0.8740000128746033},{"id":"https://openalex.org/keywords/life-years-gained","display_name":"life-years gained","score":0.8550000190734863},{"id":"https://openalex.org/keywords/optimal-medical-therapy","display_name":"optimal medical therapy","score":0.8659999966621399},{"id":"https://openalex.org/keywords/russian-healthcare-system","display_name":"Russian healthcare system","score":0.8230000138282776},{"id":"https://openalex.org/keywords/mathematical-modeling","display_name":"mathematical modeling","score":0.5490000247955322}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8190000057220459},{"id":"https://openalex.org/C2780168065","wikidata":"https://www.wikidata.org/wiki/Q1930043","display_name":"Regurgitation (circulation)","level":2,"score":0.5414000153541565},{"id":"https://openalex.org/C2776125615","wikidata":"https://www.wikidata.org/wiki/Q18391886","display_name":"Economic evaluation","level":2,"score":0.5325999855995178},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.5264000296592712},{"id":"https://openalex.org/C2984538763","wikidata":"https://www.wikidata.org/wiki/Q2260590","display_name":"Scoring system","level":2,"score":0.4375},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4253999888896942},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.40630000829696655},{"id":"https://openalex.org/C3018065600","wikidata":"https://www.wikidata.org/wiki/Q10751894","display_name":"Life saving","level":2,"score":0.37059998512268066},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.36489999294281006},{"id":"https://openalex.org/C2779946567","wikidata":"https://www.wikidata.org/wiki/Q1344255","display_name":"Tricuspid valve","level":2,"score":0.35740000009536743},{"id":"https://openalex.org/C63479239","wikidata":"https://www.wikidata.org/wiki/Q7353546","display_name":"Robustness (evolution)","level":3,"score":0.34150001406669617},{"id":"https://openalex.org/C2982822547","wikidata":"https://www.wikidata.org/wiki/Q179661","display_name":"Medical treatment","level":2,"score":0.33980000019073486},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.32170000672340393},{"id":"https://openalex.org/C515549039","wikidata":"https://www.wikidata.org/wiki/Q1754768","display_name":"Cost-effectiveness analysis","level":3,"score":0.31940001249313354},{"id":"https://openalex.org/C119693030","wikidata":"https://www.wikidata.org/wiki/Q2180497","display_name":"Economic model","level":2,"score":0.31060001254081726},{"id":"https://openalex.org/C188897","wikidata":"https://www.wikidata.org/wiki/Q5333508","display_name":"Economic impact analysis","level":2,"score":0.30889999866485596},{"id":"https://openalex.org/C127454912","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost\u2013benefit analysis","level":2,"score":0.30809998512268066},{"id":"https://openalex.org/C3019354653","wikidata":"https://www.wikidata.org/wiki/Q5690885","display_name":"Medical costs","level":3,"score":0.29490000009536743},{"id":"https://openalex.org/C2776229121","wikidata":"https://www.wikidata.org/wiki/Q215620","display_name":"Heart valve","level":2,"score":0.2937000095844269},{"id":"https://openalex.org/C2985697011","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economic analysis","level":2,"score":0.2874000072479248},{"id":"https://openalex.org/C2991717224","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Medical insurance","level":2,"score":0.28029999136924744},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.27649998664855957},{"id":"https://openalex.org/C2992052470","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Medical expenses","level":2,"score":0.26510000228881836},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C2780026749","wikidata":"https://www.wikidata.org/wiki/Q7912830","display_name":"Valve replacement","level":3,"score":0.26190000772476196},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.25760000944137573},{"id":"https://openalex.org/C3019080777","wikidata":"https://www.wikidata.org/wiki/Q1754768","display_name":"Cost effectiveness","level":2,"score":0.25609999895095825},{"id":"https://openalex.org/C3020452639","wikidata":"https://www.wikidata.org/wiki/Q454812","display_name":"Clinical judgment","level":2,"score":0.25029999017715454}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.17749/2070-4909/farmakoekonomika.2026.415","doi":"https://doi.org/10.17749/2070-4909/farmakoekonomika.2026.415","is_oa":true,"landing_page_url":"https://doi.org/10.17749/2070-4909/farmakoekonomika.2026.415","pdf_url":"https://www.pharmacoeconomics.ru/jour/article/download/1506/734","source":{"id":"https://openalex.org/S2764615430","display_name":"FARMAKOEKONOMIKA Modern Pharmacoeconomics and Pharmacoepidemiology","issn_l":"2070-4909","issn":["2070-4909","2070-4933"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/I4210126206","host_organization_name":"Irbis (Czechia)","host_organization_lineage":["https://openalex.org/I4210126206"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.17749/2070-4909/farmakoekonomika.2026.415","doi":"https://doi.org/10.17749/2070-4909/farmakoekonomika.2026.415","is_oa":true,"landing_page_url":"https://doi.org/10.17749/2070-4909/farmakoekonomika.2026.415","pdf_url":"https://www.pharmacoeconomics.ru/jour/article/download/1506/734","source":{"id":"https://openalex.org/S2764615430","display_name":"FARMAKOEKONOMIKA Modern Pharmacoeconomics and Pharmacoepidemiology","issn_l":"2070-4909","issn":["2070-4909","2070-4933"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/I4210126206","host_organization_name":"Irbis (Czechia)","host_organization_lineage":["https://openalex.org/I4210126206"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224577258.pdf","grobid_xml":"https://content.openalex.org/works/W7224577258.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1964119880","https://openalex.org/W2023688706","https://openalex.org/W3048829332","https://openalex.org/W3110632676","https://openalex.org/W3124426946","https://openalex.org/W3162611938","https://openalex.org/W4220977343","https://openalex.org/W4285217754","https://openalex.org/W4289519352","https://openalex.org/W4323076139","https://openalex.org/W4383226553","https://openalex.org/W4385830422","https://openalex.org/W4390120608","https://openalex.org/W4392386537","https://openalex.org/W4402214921","https://openalex.org/W4403847655","https://openalex.org/W4408500541","https://openalex.org/W4416122144"],"related_works":["https://openalex.org/W4220977343","https://openalex.org/W3206733802","https://openalex.org/W3124426946","https://openalex.org/W4297201624","https://openalex.org/W4400038349","https://openalex.org/W7163718517","https://openalex.org/W4306167841","https://openalex.org/W4220917164","https://openalex.org/W4402214921","https://openalex.org/W7203552328"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"evaluate":[2,44],"the":[3,9,29,45,93,97,108,132,135,169,173,219,244,250,257,260],"clinical":[4,46,109,266],"and":[5,37,47,66,80,101,110,124,143,158,165,238],"economic":[6,48,111],"effectiveness":[7],"of":[8,50,92,121,134,218,259],"TriClip":[10,98,151,178,195,220,252],"\u00ae":[11,99,152,179,196,221,253],"transcatheter":[12,89],"edge-to-edge":[13,90],"repair":[14,91,224],"system":[15,32,100,225],"compared":[16,87,212,240],"with":[17,24,60,118,138,149,213,228,241,249,264],"optimal":[18],"medical":[19,231],"therapy":[20],"(OMT)":[21],"in":[22,28,54,197],"patients":[23,55],"severe":[25,63],"tricuspid":[26,64,94,222],"regurgitation":[27,65],"Russian":[30,261],"healthcare":[31,203,262],"using":[33,96],"mathematical":[34],"modeling.":[35],"Material":[36],"methods.":[38],"A":[39],"model":[40],"was":[41,113,182],"developed":[42],"to":[43,130,199],"outcomes":[49],"alternative":[51],"treatment":[52,85],"strategies":[53,86],"at":[56],"high":[57],"surgical":[58],"risk":[59],"grade":[61],"3\u20134":[62],"New":[67],"York":[68],"Heart":[69],"Association":[70],"(NYHA)":[71],"functional":[72],"classes":[73],"II\u2013IV.":[74],"The":[75,84,103,188],"methods":[76],"included":[77],"cost-effectiveness,":[78],"cost-utility,":[79],"budget":[81,189],"impact":[82,190],"analyses.":[83],"were":[88,127],"valve":[95,223],"OMT.":[102,242],"base-case":[104],"time":[105,119,273],"horizon":[106],"for":[107,141,177],"analysis":[112,191],"15":[114],"years.":[115],"Scenario":[116],"analyses":[117,139],"horizons":[120],"5,":[122],"10,":[123],"20":[125],"years":[126,155,161,211],"also":[128],"performed":[129],"assess":[131],"robustness":[133],"results,":[136],"along":[137],"accounting":[140],"hospitalizations":[142],"crossover":[144],"study":[145],"results.":[146],"Results.":[147],"Compared":[148],"OMT,":[150],"increased":[153,236],"life":[154,160],"gained":[156],"(LYGs)":[157],"quality-adjusted":[159],"(QALYs)":[162],"by":[163,205],"1.36":[164],"1.41,":[166],"respectively.":[167],"Over":[168],"15-year":[170],"modeling":[171],"horizon,":[172],"incremental":[174],"cost-effectiveness":[175],"ratio":[176],"versus":[180],"OMT":[181,200,214],"3.3":[183],"million":[184],"rubles":[185,208],"per":[186],"QALY.":[187],"showed":[192],"that":[193],"introducing":[194],"addition":[198],"would":[201],"increase":[202],"expenditures":[204],"2.8":[206],"billion":[207],"over":[209,271],"5":[210],"alone.":[215],"Conclusion.":[216],"Use":[217],"is":[226,254],"associated":[227,248],"higher":[229,245],"direct":[230],"costs":[232,247],"as":[233,235],"well":[234],"LYGs":[237],"QALYs":[239],"Despite":[243],"initial":[246],"intervention,":[251],"cost-effective":[255],"from":[256],"perspective":[258],"system,":[263],"its":[265],"benefits":[267],"becoming":[268],"more":[269],"pronounced":[270],"longer":[272],"horizons.":[274]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-30T00:00:00"}
