An introduction to decision analysis in the economic evaluation of the prevention and treatment of vision-related diseases

Ophthalmic Epidemiology
Steven M Kymes

Abstract

Economic evaluation in the form of reports of cost-effectiveness of the treatment and prevention of disease has only recently found widespread application in the visual sciences. While economic evaluation takes a number of forms: cost-minimization analysis, cost-benefit analysis, and cost-effectiveness analysis--it is the latter that is seen most often in the evaluation of vision-related health programs. Cost-effectiveness analysis is in particular seen most commonly in its very particular form of cost-utility analysis. Decision analysis is the analytic method most commonly used to perform cost-effectiveness analysis. In decision analysis, the expected cost and effectiveness of a health program are estimated in a rigorous fashion. In this report, we take the reader through the process of decision analysis including building the tree; populating the model with parameters for risk, cost and benefit; estimating expected cost and benefit; and deterministic and probabilistic sensitivity analysis. Examples employed include prominent studies of the cost-effectiveness of photodynamic therapy for treatment of neovascular macular degeneration and the treatment ocular hypertension to prevent glaucoma.

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Citations

Dec 22, 2010·Indian Journal of Ophthalmology·Anja Tuulonen
Apr 8, 2010·Current Medical Research and Opinion·Lesley-Ann MillerSumeet Panjabi
Mar 6, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Kamran IdreesWilliam G Hawkins
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Nov 14, 2015·PharmacoEconomics·Jordana K Schmier, Carolyn K Hulme-Lowe
Mar 14, 2014·Ophthalmic Epidemiology·Steven M Kymes
Sep 25, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·John D PfeiferSteven M Kymes
Dec 13, 2018·Journal of Glaucoma·Simon E SkalickyPradeep Y Ramulu
May 3, 2014·Journal of Sports Sciences·Hugo SarmentoJosé Carlos LeitÃo
Feb 14, 2020·Journal of Glaucoma·Inhae ParkSimon E Skalicky
Aug 24, 2020·The British Journal of Ophthalmology·Alp AtikNathan M Kerr

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