Table 23:
Budget Impact of Adopting TAVI in Ontario, 2016 to 2020
| Year | Strategy | Cost per Year Post-implant, $ | Total, $ | ||||
|---|---|---|---|---|---|---|---|
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | |||
| 2016 | TAVI | 50,761,147 | — | — | — | — | 50,761,147 |
| SAVR | 43,196,525 | — | — | — | — | 43,196,525 | |
| Net budget impact | 7,564,622 | — | — | — | — | 7,564,622 | |
| 2017 | TAVI | 51,268,758 | 6,654,742 | — | — | — | 57,923,500 |
| SAVR | 43,628,490 | 5,835,325 | — | — | — | 49,463,815 | |
| Net budget impact | 7,640,268 | 819,417 | — | — | — | 8,459,685 | |
| 2018 | TAVI | 51,781,446 | 6,721,289 | 2,540,270 | — | — | 61,043,005 |
| SAVR | 44,064,775 | 5,893,679 | 2,666,441 | — | — | 52,624,894 | |
| Net budget impact | 7,716,671 | 827,611 | –126,171 | — | — | 8,418,111 | |
| 2019 | TAVI | 52,299,260 | 6,788,502 | 2,565,673 | 2,396,322 | — | 64,049,757 |
| SAVR | 44,505,423 | 5,952,615 | 2,693,105 | 2,541,128 | — | 55,692,271 | |
| Net budget impact | 7,793,837 | 835,887 | –127,433 | –144,806 | — | 8,357,486 | |
| 2020 | TAVI | 52,847,976 | 6,928,323 | 2,644,702 | 2,494,836 | 2,351,967 | 67,267,805 |
| SAVR | 44,972,367 | 6,075,220 | 2,776,060 | 2,645,595 | 2,517,949 | 58,987,192 | |
| Net budget impact | 7,875,609 | 853,103 | –131,358 | –150,759 | –165,983 | 8,280,613 | |
Abbreviations: SAVR, surgical aortic valve implantation; TAVI, transcatheter aortic valve implantation. Note: Numbers may appear inexact due to rounding.