Medical predictive factors of glaucoma treatment costs

Journal of Glaucoma
P DenisGilles Berdeaux

Abstract

To describe the patterns and the economics of glaucoma treatment. Ophthalmologists selected at random were asked to include 4 consecutive patients over 18 years of age seen in consultation during a week. Socio-demographics, general and eye comorbidities, glaucoma risk factors, clinical data, and medical item consumption data for the preceding 5 years were collected for each patient. The economic perspective was societal, and predictive medical factors of costs were identified using a stepwise regression. Eighty-eight ophthalmologists included 337 patients, with a gender ratio of 4 males to 6 females, and a mean age of 62. Thirty-four percent had OHT. Glaucoma patients were older and no difference was found on the known confounding factors. Patients with glaucoma visited practitioners more often than those with OHT, had more exams, more often used expensive drug combination therapies, and had more hospitalizations. Drugs represented 37.1% to 63.1% of the expenses followed by exams (17.7% to 34.3%) and visits (13.8% to 28.0%). Two clinical factors contributed to costs: abnormalities of the optic nerve head the day of the study visit and the number of treatment changes. These were followed by intraocular pressure (IOP) and visual ...Continue Reading

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Citations

Apr 30, 2013·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Katrin LorenzNorbert Pfeiffer
Aug 31, 2007·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Daniela KolevaUNKNOWN Study Group GLAUCO
Apr 10, 2009·PharmacoEconomics·Richard G FiscellaJohn Walt
Aug 13, 2011·Acta Ophthalmologica·Jens OlsenJesper Skov
Aug 31, 2017·Journal of Ocular Pharmacology and Therapeutics : the Official Journal of the Association for Ocular Pharmacology and Therapeutics·Matthew G J TreseSayoko E Moroi
Mar 23, 2006·Current Opinion in Ophthalmology·Constance Nduaguba, Richard K Lee
May 20, 2009·Journal of Medical Economics·Jean Philippe NordmannGilles Berdeaux
Feb 16, 2007·Current Opinion in Ophthalmology·Amish Doshi, Kuldev Singh
Nov 9, 2005·Journal of Glaucoma·Jean Philippe NordmannGilles Berdeaux
Jul 20, 2021·Curēus·Ioanna MylonaMikes N Glynatsis

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