Aim: This study evaluated the occurrence and associated costs of pacemaker complications in Germany from 2010 to 2013. Patients & methods: Patients with a de novo or replacement implantation of a single or dual chamber pacemaker between 2010 and 2013 were followed for 12 months post-implant using German health insurance claims data. A case-control analysis was performed using propensity score matching to estimate the costs of complications. Results: Out of 12,922 implanted patients, 12.0% had a complication in the year following the implant. Complications related to lead and pocket were found in 10.2% of all implanted patients; infections occurred in 1.7% patients. Healthcare costs up to 36 months post complication were on average €4627 higher than for pacemaker patients without a complication. Conclusion: Pacemaker complications are common and represent a burden for patients and healthcare systems generating substantial costs. Most of the pacemaker complications involved the pacing lead or pacemaker pocket.

Saskia Ludwig

Cathrin Theis

Claudia Wolff

Emmanuelle Nicolle

Andreas Witthohn

Andreas Götte

Journal of Comparative Effectiveness Research

《比较有效性研究杂志》为辩论、新发现和研究方法的展示提供了一个快速出版平台。通过严格的评估和全面的报道，《比较有效性研究杂志》为利益相关者（包括患者、临床医生、医疗保健购买者和卫生政策制定者）​​掌握关键数据和意见，以便就临床实践做出明智和具体的决定。

The Journal of Comparative Effectiveness Research provides a rapid publication platform for the discussion of debates, new findings, and research methodologies. Through rigorous evaluation and comprehensive reporting, the journal assists stakeholders—including patients, clinicians, healthcare purchasers, and health policymakers—in grasping key data and insights to make informed and specific decisions in clinical practice.

《比较有效性研究杂志》为辩论、新发现和研究方法的展示提供了一个快速出版平台。通过严格的评估和全面的报道，该杂志帮助利益相关者（包括患者、临床医生、医疗保健购买者和卫生政策制定者）掌握关键数据和观点，以便在临床实践中做出明智和具体的决策。

Complications and associated healthcare costs of transvenous cardiac pacemakers in Germany

Pacemaker complications are common and represent a burden for patients and healthcare systems generating substantial costs, and most of the pacemaker complications involved the pacing lead or pacemaker pocket.

Category	Quartile
医学	4
医学, 卫生保健与服务	4

Complications and associated healthcare costs of transvenous cardiac pacemakers in Germany

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Journal Info

Category	Quartile
HEALTH CARE SCIENCES & SERVICES	3