Cost analysis of childhood glaucoma surgeries using the US Medicaire allowable costs
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Published:2023-05-18
Issue:5
Volume:16
Page:700-704
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ISSN:2222-3959
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Container-title:International Journal of Ophthalmology
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language:
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Short-container-title:Int J Ophthalmol
Author:
Elhusseiny Abdelrahman M., ,Yannuzzi Nicolas A.,Chang Ta C.,Lee Richard K.,Smiddy William E., , , ,
Abstract
AIM: To analyze and calculate the relative cost of various childhood glaucoma surgical interventions per mm Hg intraocular pressure (IOP) reduction ($/mm Hg).
METHODS: Representative index studies were reviewed to quantitate the reduction of mean IOP and glaucoma medications for each surgical intervention in childhood glaucoma. A US perspective was adopted, using Medicare allowable costs to calculate cost/mm Hg IOP reduction ($/mm Hg) at 1y postoperatively.
RESULTS: At 1y postoperatively, the cost/mm Hg IOP reduction was $226/mm Hg for microcatheter-assisted circumferential trabeculotomy, $284/mm Hg for cyclophotocoagulation, $288/mm Hg for conventional ab-externo trabeculotomy, $338/mm Hg for Ahmed glaucoma valve, $350/mm Hg for Baerveldt glaucoma implant, $351/mm Hg for goniotomy, and $400/mm Hg for trabeculectomy.
CONCLUSION: Microcatheter-assisted circumferential trabeculotomy is the most cost-efficient surgical method to lower IOP in childhood glaucoma, while trabeculectomy is the least cost-efficient surgical method.
Publisher
Press of International Journal of Ophthalmology (IJO Press)