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Modelling lifetime cost consequences of ReSTOR in cataract surgery in four European countries.
BMC Ophthalmol. 2008 Jul 15; 8:12.BO

Abstract

BACKGROUND

To compare the lifetime costs of liberating patients from spectacles after cataract surgery by implanting the multifocal intraocular lens (IOL) 'ReSTOR' versus monofocal IOLs in France, Italy, Germany and Spain.

METHODS

A Markov model was created to follow patient cohorts from cataract surgery until death. Prevalence rates of patients not needing spectacles after cataract surgery were obtained from clinical trials. Resource utilisation included implant surgery, IOLs, spectacles, visits to ophthalmologists and eye centres, transport, and time lost by patients. Economic perspectives were those of Society and Sickness Funds (SFs).

RESULTS

The mean number of spectacles purchased after ReSTOR was 1.34-1.61 and after monofocal IOLs 6.05-7.27. From the societal perspective, total cost estimates discounted by 3% were between 3,551 euros and 4,052 euros with ReSTOR compared to 3,989 euros and 5,548 euros with monofocal IOLs. Undiscounted savings related to ReSTOR ranged from 815 euros to 2,164 euros. From the SFs' perspective total cost estimates discounted by 3% were between 2,150 euros and 2,524 euros with ReSTOR compared to 2,324 euros and 2,610 euros with monofocal IOLs. Savings related to ReSTOR, once costs discounted, ranged from 61 euros to 219 euros. Discount and spectacle freedom prevalence rates were the most sensitive parameters.

CONCLUSION

The bulk of the savings related to ReSTOR were realized outside the SF. From both a societal and SF perspective, savings, after a 3% discounting, achieved by liberating patients from spectacles counterbalanced the initially higher cost of ReSTOR. ReSTOR is a cost saving alternative to spectacles for patients requiring cataract surgery.

Authors+Show Affiliations

Cemka, 43 boulevard du maréchal Joffre, F-92240 Bourg-la-Reine, France. antoine.lafuma@cemka.frNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

18627594

Citation

Lafuma, Antoine, and Gilles Berdeaux. "Modelling Lifetime Cost Consequences of ReSTOR in Cataract Surgery in Four European Countries." BMC Ophthalmology, vol. 8, 2008, p. 12.
Lafuma A, Berdeaux G. Modelling lifetime cost consequences of ReSTOR in cataract surgery in four European countries. BMC Ophthalmol. 2008;8:12.
Lafuma, A., & Berdeaux, G. (2008). Modelling lifetime cost consequences of ReSTOR in cataract surgery in four European countries. BMC Ophthalmology, 8, 12. https://doi.org/10.1186/1471-2415-8-12
Lafuma A, Berdeaux G. Modelling Lifetime Cost Consequences of ReSTOR in Cataract Surgery in Four European Countries. BMC Ophthalmol. 2008 Jul 15;8:12. PubMed PMID: 18627594.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modelling lifetime cost consequences of ReSTOR in cataract surgery in four European countries. AU - Lafuma,Antoine, AU - Berdeaux,Gilles, Y1 - 2008/07/15/ PY - 2007/11/21/received PY - 2008/07/15/accepted PY - 2008/7/17/pubmed PY - 2008/8/30/medline PY - 2008/7/17/entrez SP - 12 EP - 12 JF - BMC ophthalmology JO - BMC Ophthalmol VL - 8 N2 - BACKGROUND: To compare the lifetime costs of liberating patients from spectacles after cataract surgery by implanting the multifocal intraocular lens (IOL) 'ReSTOR' versus monofocal IOLs in France, Italy, Germany and Spain. METHODS: A Markov model was created to follow patient cohorts from cataract surgery until death. Prevalence rates of patients not needing spectacles after cataract surgery were obtained from clinical trials. Resource utilisation included implant surgery, IOLs, spectacles, visits to ophthalmologists and eye centres, transport, and time lost by patients. Economic perspectives were those of Society and Sickness Funds (SFs). RESULTS: The mean number of spectacles purchased after ReSTOR was 1.34-1.61 and after monofocal IOLs 6.05-7.27. From the societal perspective, total cost estimates discounted by 3% were between 3,551 euros and 4,052 euros with ReSTOR compared to 3,989 euros and 5,548 euros with monofocal IOLs. Undiscounted savings related to ReSTOR ranged from 815 euros to 2,164 euros. From the SFs' perspective total cost estimates discounted by 3% were between 2,150 euros and 2,524 euros with ReSTOR compared to 2,324 euros and 2,610 euros with monofocal IOLs. Savings related to ReSTOR, once costs discounted, ranged from 61 euros to 219 euros. Discount and spectacle freedom prevalence rates were the most sensitive parameters. CONCLUSION: The bulk of the savings related to ReSTOR were realized outside the SF. From both a societal and SF perspective, savings, after a 3% discounting, achieved by liberating patients from spectacles counterbalanced the initially higher cost of ReSTOR. ReSTOR is a cost saving alternative to spectacles for patients requiring cataract surgery. SN - 1471-2415 UR - https://www.unboundmedicine.com/medline/citation/18627594/Modelling_lifetime_cost_consequences_of_ReSTOR_in_cataract_surgery_in_four_European_countries_ L2 - https://bmcophthalmol.biomedcentral.com/articles/10.1186/1471-2415-8-12 DB - PRIME DP - Unbound Medicine ER -