Screening for open angle glaucoma: systematic review of cost-effectiveness studies.

Journal of Glaucoma
Rodolfo A HernándezOAG Screening Project Group

Abstract

To systematically review current evidence on the cost-effectiveness of screening strategies for open angle glaucoma (OAG). Studies that reported both costs and outcomes of alternative screening strategies for OAG were identified by a highly sensitive search of electronic databases (eg, MEDLINE, EMBASE, NHS EED, HTA Database), last search December 2005. Data on costs regarding cases and years of visual impairment prevented, cases of blindness prevented, and cases of OAG detected were extracted. Incremental cost-effectiveness ratios were calculated using data provided in the included studies. Four studies met the inclusion criteria. The latest of these was published in 1997. The screening tests and treatments reported in these studies are now not considered to be best practice. Furthermore, data were not reported in sufficient detail to reinterpret the results of the studies in terms of a common outcome measure. Finally, these studies suffered from methodologic weaknesses that further limit their usefulness for decision making. Currently, there is insufficient economic evidence on which to base recommendations regarding screening for OAG. New technologies, potentially suitable as screening devices, and new treatments are availabl...Continue Reading

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Citations

Feb 15, 2012·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Julia TheodossiadesJohn G Lawrenson
Dec 25, 2009·Ophthalmology·Gisèle LiPaul Harasymowycz
Oct 27, 2009·Journal français d'ophtalmologie·R A Paletta GuedesA Chaoubah
May 24, 2013·Seminars in Ophthalmology·Anna C Momont, Richard P Mills
Feb 25, 2015·Oman Journal of Ophthalmology·Sheetal DharmadhikariSucheta Kulkarni
Nov 12, 2015·BioMed Research International·Francisco J Muñoz-NegreteGema Rebolleda
Jan 6, 2018·Journal of Global Health·Peige SongKit Yee Chan
Dec 30, 2018·Acta Ophthalmologica·Ane Sophie OlsenMiriam Kolko
Aug 8, 2019·Ophthalmic Epidemiology·Nikhil S ChoudhariChandra Sekhar Garudadri
Jan 5, 2013·Current Opinion in Ophthalmology·John Ryan McManus, Peter A Netland
Sep 14, 2019·Ophthalmic Epidemiology·Pete R JonesDavid P Crabb
Jan 18, 2020·The British Journal of Ophthalmology·Elina KarvonenVille Saarela
Sep 11, 2018·Acta Ophthalmologica·Elina KarvonenVille Saarela

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