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Cost-effectiveness of low-astigmatism correction with toric or spherical intraocular lenses combined with corneal incisions: an economic evaluation.
Ginel, José; Rodríguez-Vallejo, Manuel; Piñero, David; Sáez-Martín, Alejandro; Haro De Rosario, Arturo; Fernández, Joaquín.
Afiliación
  • Ginel J; Qvision, Department of Ophthalmology of VITHAS Almería Hospital, 04120, Almería, Spain.
  • Rodríguez-Vallejo M; Qvision, Department of Ophthalmology of VITHAS Almería Hospital, 04120, Almería, Spain.
  • Piñero D; Department of Optics, Pharmacology and Anatomy, University of Alicante, Alicante, Spain.
  • Sáez-Martín A; Department of Ophthalmology (IMQO-Oftalmar), Vithas Medimar International Hospital, Alicante, Spain.
  • Haro De Rosario A; Department of Economics and Business, Faculty of Economics and Business Studies, University of Almería, Ctra. Sacramento s/n, La Cañada de San Urbano, 04120 Almería, Spain.
  • Fernández J; Department of Economics and Business, Faculty of Economics and Business Studies, University of Almería, Ctra. Sacramento s/n, La Cañada de San Urbano, 04120 Almería, Spain.
J Cataract Refract Surg ; 2024 Jun 25.
Article en En | MEDLINE | ID: mdl-38915158
ABSTRACT

PURPOSE:

To assess the cost-effectiveness of the treatment of low corneal astigmatism (≤1.5 D) at the moment of the cataract surgery.

SETTING:

("Masked by journal requirement").

DESIGN:

Economic Evaluation.

METHODS:

A decision tree was used to assess the cost-effectiveness of implanting spherical versus toric intraocular lenses (IOLs) or the spherical lens combined with the following corneal incisions limbal relaxing incisions conducted manually (M-LRI) or assisted by femtosecond laser (F-LRI), arcuate keratotomies conducted manually (M-AK) or assisted by femtosecond (F-AK), and intrastromal arcuate keratotomies (F-iAK). Outcomes of cost were selected from a patient's perspective considering the gross cost of each one of the surgeries at European centers, and the effectiveness variable was the probability of achieving a visual acuity of 20/20 after surgery. A sensitivity analysis was conducted to assess the uncertainty considering the evidence retrieved from the transition probabilities of the model, the effectiveness, and the cost.

RESULTS:

F-AK or Toric IOLs were the most effective treatments, increasing an 16% or 9%, respectively, in the percentage of eyes attaining 20/20 vision. The M-LRI, F-iAK, and F-LRI procedures were strongly dominated, while the M-AK and toric IOL were weakly dominated by the F-AK. A patient with low corneal astigmatism would need to be willing to pay 360€ [CI 95% 231-1224] with F-AK and 472€ [CI 95% 149-4490] with toric IOLs for a 10% increase in the probability of achieving 20/20 vision.

CONCLUSIONS:

From the patient's perspective, F-AK was generally the most cost-effective treatment, even though toric IOLs can dominate in some countries.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Cataract Refract Surg Asunto de la revista: OFTALMOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Cataract Refract Surg Asunto de la revista: OFTALMOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos