{"id":"https://openalex.org/W7224829036","doi":"https://doi.org/10.6084/m9.figshare.34866748","title":"Comparison of 1-year costs of commercially insured patients with severe aortic stenosis undergoing surgical vs. transcatheter aortic valve replacement","display_name":"Comparison of 1-year costs of commercially insured patients with severe aortic stenosis undergoing surgical vs. transcatheter aortic valve replacement","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224829036","doi":"https://doi.org/10.6084/m9.figshare.34866748"},"language":"en","primary_location":{"id":"doi:10.6084/m9.figshare.34866748","doi":"https://doi.org/10.6084/m9.figshare.34866748","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.34866748","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"article","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.6084/m9.figshare.34866748","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056258305","display_name":"Suzanne J. Baron","orcid":"https://orcid.org/0000-0002-8319-5637","observed_orcids":["https://orcid.org/0000-0002-8319-5637"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Suzanne J. Baron","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037328287","display_name":"Benjamin Zev Galper","orcid":"https://orcid.org/0009-0000-5104-3199","observed_orcids":["https://orcid.org/0009-0000-5104-3199"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Benjamin Z. Galper","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055942795","display_name":"Marcella A. Kelley","orcid":"https://orcid.org/0000-0003-0370-8496","observed_orcids":["https://orcid.org/0000-0003-0370-8496"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marcella A. Kelley","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087814756","display_name":"Soumya G. Chikermane","orcid":"https://orcid.org/0000-0001-5335-3430","observed_orcids":["https://orcid.org/0000-0001-5335-3430"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Soumya G. Chikermane","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5121936503","display_name":"Shannon M. E. Murphy","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shannon M. E. Murphy","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88315752,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9994999766349792,"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":0.9994999766349792,"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/T10618","display_name":"Aortic Disease and Treatment Approaches","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory 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/T14138","display_name":"Life Cycle Costing Analysis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1402","display_name":"Accounting"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/aortic-stenosis","display_name":"aortic stenosis","score":0.9629999995231628},{"id":"https://openalex.org/keywords/transcatheter-aortic-valve-replacement","display_name":"transcatheter aortic valve implantation","score":1.0},{"id":"https://openalex.org/keywords/surgical-aortic-valve-replacement","display_name":"surgical aortic valve replacement","score":0.9980000257492065},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.8560000061988831},{"id":"https://openalex.org/keywords/commercially-insured-patients","display_name":"commercially insured patients","score":0.8479999899864197},{"id":"https://openalex.org/keywords/hospital-frailty-risk-score","display_name":"Hospital Frailty Risk Score","score":0.9020000100135803},{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.8830000162124634},{"id":"https://openalex.org/keywords/isolated-aortic-valve-replacement","display_name":"isolated aortic valve replacement","score":0.7639999985694885},{"id":"https://openalex.org/keywords/cost-comparison","display_name":"cost comparison","score":0.5709999799728394},{"id":"https://openalex.org/keywords/real-world-evidence","display_name":"real-world evidence","score":0.6010000109672546},{"id":"https://openalex.org/keywords/risk-adjustment","display_name":"risk adjustment","score":0.3540000021457672}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9122999906539917},{"id":"https://openalex.org/C2780026749","wikidata":"https://www.wikidata.org/wiki/Q7912830","display_name":"Valve replacement","level":3,"score":0.7365999817848206},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.6944000124931335},{"id":"https://openalex.org/C2776570981","wikidata":"https://www.wikidata.org/wiki/Q4413093","display_name":"Aortic valve replacement","level":3,"score":0.5580000281333923},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5565999746322632},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.483599990606308},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.47620001435279846},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.4731000065803528},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4115000069141388},{"id":"https://openalex.org/C2780714102","wikidata":"https://www.wikidata.org/wiki/Q616071","display_name":"Aortic valve","level":2,"score":0.3343000113964081},{"id":"https://openalex.org/C2781414266","wikidata":"https://www.wikidata.org/wiki/Q531019","display_name":"Aortic valve stenosis","level":3,"score":0.3154999911785126},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.3118000030517578}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.6084/m9.figshare.34866748","doi":"https://doi.org/10.6084/m9.figshare.34866748","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.34866748","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.6084/m9.figshare.34866748.v1","doi":"https://doi.org/10.6084/m9.figshare.34866748.v1","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.34866748.v1","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.6084/m9.figshare.34866748","doi":"https://doi.org/10.6084/m9.figshare.34866748","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.34866748","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4213237881","https://openalex.org/W2043896177","https://openalex.org/W4417494346","https://openalex.org/W3180204886","https://openalex.org/W3135821332","https://openalex.org/W2916705285","https://openalex.org/W4296734293","https://openalex.org/W4386212004","https://openalex.org/W3121644968","https://openalex.org/W3101939662"],"abstract_inverted_index":{"Patients":[0,70],"with":[1,15,22,44,138,171,251,256],"aortic":[2,17,24],"stenosis":[3],"(AS)":[4],"have":[5,9],"been":[6],"shown":[7],"to":[8,111,212],"lower":[10,133,170,195,257,267],"costs":[11,35,117,136,164,261,270],"at":[12],"1":[13],"year":[14,167],"transcatheter":[16],"valve":[18,25],"replacement":[19,26],"(TAVR)":[20],"compared":[21,137],"surgical":[23],"(SAVR)":[27],"in":[28,34,40,46,115,173,196,222,237,271,305],"a":[29,244],"Medicare":[30],"population.":[31],"The":[32,86],"difference":[33,114,146,181,217],"between":[36,64,118,296],"TAVR":[37,61,119,130,172,253,297],"and":[38,66,101,120,176,193,225,230,233,266,274,284,292,298],"SAVR":[39,63,139,299],"commercially":[41],"insured":[42],"patients":[43,58,123,131,140,250],"AS":[45,57,304],"the":[47,53,80,95,113,116,174,197,208,215,223,238,272,301],"United":[48],"States":[49],"is":[50],"unknown.":[51],"Using":[52],"Optum":[54],"claims":[55],"database,":[56],"receiving":[59],"either":[60],"or":[62,76],"3/2019":[65],"9/2022":[67],"were":[68,71,109,128,168],"identified.":[69,129],"categorized":[72],"into":[73],"low,":[74],"intermediate":[75,177,188,226,275],"high":[77,198,239],"strata":[78,144,179,228,265],"using":[79],"Hospital":[81],"Frailty":[82],"Risk":[83],"Score":[84],"(HFRS).":[85],"primary":[87],"outcome":[88],"was":[89,210,218,234,254],"total":[90],"1-year":[91,102,216,269],"cost,":[92],"defined":[93],"as":[94],"sum":[96],"of":[97,248,290,303],"index":[98,134,259],"AVR":[99],"hospitalization":[100,135,260],"follow-up":[103],"costs.":[104],"Risk-adjusted":[105],"generalized":[106],"linear":[107],"models":[108],"used":[110],"assess":[112],"SAVR.":[121],"3,623":[122],"(952":[124],"TAVR;":[125],"2,671":[126],"SAVR)":[127],"had":[132],"across":[141,262],"all":[142,263],"HFRS":[143,178,199,227,240,264,276],"(cost":[145,180,201],"for":[147,182,300],"low:":[148,183],"$39,312,":[149],"p":[150,155,160,185,190,204],"<":[151,156,186,191],"0.01;":[152,157,187],"intermediate:":[153],"$42,006,":[154],"high:":[158],"$39,431,":[159],"=":[161,205],"0.03).":[162],"Cumulative":[163],"through":[165],"one":[166],"significantly":[169],"low":[175,224,273],"$32,116,":[184],"$40,905,":[189],"0.01)":[192],"numerically":[194,235],"stratum":[200,241],"difference:":[202],"$35,881,":[203],"0.15).":[206],"When":[207],"analysis":[209],"restricted":[211],"isolated":[213],"AVR,":[214],"no":[219],"longer":[220],"significant":[221],"($8,064":[229],"$11,314,":[231],"respectively)":[232],"reversed":[236],"(\u2212$28,804).":[242],"In":[243],"commercial":[245,306],"payor":[246],"population":[247],"real-world":[249],"AS,":[252],"associated":[255],"standardized":[258,268],"strata.":[277],"These":[278],"findings":[279],"demonstrate":[280],"that":[281],"baseline":[282],"frailty":[283],"procedural":[285],"scope":[286],"are":[287],"critical":[288],"determinants":[289],"short":[291],"intermediate-term":[293],"cost":[294],"differences":[295],"treatment":[302],"populations.":[307]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-31T00:00:00"}
