Tags

Type your tag names separated by a space and hit enter

Modelling lifetime cost consequences of toric compared with standard IOLs in cataract surgery of astigmatic patients in four European countries.
J Med Econ. 2009 Sep; 12(3):230-7.JM

Abstract

OBJECTIVE

To compare the lifetime costs of freeing astigmatic patients from spectacles after bilateral cataract surgery implanting toric intraocular lenses (IOLs: i.e., Acrysof Toric) versus monofocal IOLs, in France, Italy, Germany and Spain.

METHODS

A Markov model followed patient cohorts from cataract surgery until death. Prevalence rates of patients not needing spectacles and the types of spectacles prescribed for those requiring them were obtained from clinical trials and national surveys. The economic perspective was societal. Mortality rates were incorporated into the model. Discount rates were applied. A sensitivity analysis was performed on non-discounted costs.

RESULTS

Fewer patients with toric IOLs needed spectacles for distance vision than patients with monofocal IOLs. With monofocal IOLs more than 66% of patients needed complex spectacles compared to less than 25% implanted with toric IOLs. In France and Italy, toric IOLs reduced overall costs relative to otherwise high spectacle costs after cataract surgery. Savings were 897.0 euros (France), 822.5 euros (Germany), 895.8 euros (Italy) and 391.6 euros (Spain), without discounting. On applying a 3% discount rate the costs became 691.7 euros, 646.4 euros, 693.9 euros and 308.2 euros, respectively.

CONCLUSIONS

Bilateral toric IOL implants in astigmatic patients decreased spectacle dependence for distance vision and the need for complex spectacles. The economic consequences for patients depended on the national spectacle costs usually incurred after cataract surgery.

Authors+Show Affiliations

Cemka, Bourg-la-Reine, France.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19728838

Citation

Laurendeau, C, et al. "Modelling Lifetime Cost Consequences of Toric Compared With Standard IOLs in Cataract Surgery of Astigmatic Patients in Four European Countries." Journal of Medical Economics, vol. 12, no. 3, 2009, pp. 230-7.
Laurendeau C, Lafuma A, Berdeaux G. Modelling lifetime cost consequences of toric compared with standard IOLs in cataract surgery of astigmatic patients in four European countries. J Med Econ. 2009;12(3):230-7.
Laurendeau, C., Lafuma, A., & Berdeaux, G. (2009). Modelling lifetime cost consequences of toric compared with standard IOLs in cataract surgery of astigmatic patients in four European countries. Journal of Medical Economics, 12(3), 230-7. https://doi.org/10.3111/13696990903257439
Laurendeau C, Lafuma A, Berdeaux G. Modelling Lifetime Cost Consequences of Toric Compared With Standard IOLs in Cataract Surgery of Astigmatic Patients in Four European Countries. J Med Econ. 2009;12(3):230-7. PubMed PMID: 19728838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modelling lifetime cost consequences of toric compared with standard IOLs in cataract surgery of astigmatic patients in four European countries. AU - Laurendeau,C, AU - Lafuma,A, AU - Berdeaux,G, PY - 2009/9/5/entrez PY - 2009/9/5/pubmed PY - 2010/4/21/medline SP - 230 EP - 7 JF - Journal of medical economics JO - J Med Econ VL - 12 IS - 3 N2 - OBJECTIVE: To compare the lifetime costs of freeing astigmatic patients from spectacles after bilateral cataract surgery implanting toric intraocular lenses (IOLs: i.e., Acrysof Toric) versus monofocal IOLs, in France, Italy, Germany and Spain. METHODS: A Markov model followed patient cohorts from cataract surgery until death. Prevalence rates of patients not needing spectacles and the types of spectacles prescribed for those requiring them were obtained from clinical trials and national surveys. The economic perspective was societal. Mortality rates were incorporated into the model. Discount rates were applied. A sensitivity analysis was performed on non-discounted costs. RESULTS: Fewer patients with toric IOLs needed spectacles for distance vision than patients with monofocal IOLs. With monofocal IOLs more than 66% of patients needed complex spectacles compared to less than 25% implanted with toric IOLs. In France and Italy, toric IOLs reduced overall costs relative to otherwise high spectacle costs after cataract surgery. Savings were 897.0 euros (France), 822.5 euros (Germany), 895.8 euros (Italy) and 391.6 euros (Spain), without discounting. On applying a 3% discount rate the costs became 691.7 euros, 646.4 euros, 693.9 euros and 308.2 euros, respectively. CONCLUSIONS: Bilateral toric IOL implants in astigmatic patients decreased spectacle dependence for distance vision and the need for complex spectacles. The economic consequences for patients depended on the national spectacle costs usually incurred after cataract surgery. SN - 1369-6998 UR - https://www.unboundmedicine.com/medline/citation/19728838/Modelling_lifetime_cost_consequences_of_toric_compared_with_standard_IOLs_in_cataract_surgery_of_astigmatic_patients_in_four_European_countries_ L2 - https://www.tandfonline.com/doi/full/10.3111/13696990903257439 DB - PRIME DP - Unbound Medicine ER -