Tags

Type your tag names separated by a space and hit enter

Cost Analysis of Pneumatic Retinopexy versus Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment.

Abstract

PURPOSE

To perform a cost-utility analysis and comparison between pneumatic retinopexy (PR) and pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD) repair.

DESIGN

A cost-utility analysis using decision analysis.

PARTICIPANTS

There were no participants.

METHODS

A decision analysis model was constructed based on results from the Pneumatic Retinopexy versus Vitrectomy for the Management of Primary Rhegmatogenous Retinal Detachment Outcomes Randomized Trial to calculate the costs, lifetime usefulness, and lifetime cost per quality-adjusted life year (QALY) for the treatment of RRD with PR or PPV. Data from the Centers for Medicare and Medicaid Services were used to calculate the associated adjusted costs in facility and nonfacility practice settings.

MAIN OUTCOME MEASURES

Cost of intervention, utility gain over natural history, QALY gained, and cost per QALY.

RESULTS

The total imputed costs (all in 2019 United States dollars) for primary repair of RRD in facility and nonfacility settings were $4451 and $2456, respectively, in the PR group and $7108 and $4514, respectively, in the PPV group. The estimated lifetime QALYs gained were 5.9 and 5.4 in the PR and PPV groups, respectively. The cost per QALY for facility and nonfacility settings was $751 and $414, respectively, in the PR group and $1312 and $833, respectively, in the PPV group.

CONCLUSIONS

Cost-utility analysis of both PR and PPV demonstrated excellent results for both methods for RRD repair, with the metrics for PR somewhat more favorable independent of the practice settings (facility or nonfacility based).

Authors+Show Affiliations

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida; Department of Ophthalmology, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt.Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida. Electronic address: wsmiddy@med.miami.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31416765

Citation

Elhusseiny, Abdelrahman M., et al. "Cost Analysis of Pneumatic Retinopexy Versus Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment." Ophthalmology. Retina, 2019.
Elhusseiny AM, Yannuzzi NA, Smiddy WE. Cost Analysis of Pneumatic Retinopexy versus Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. Ophthalmol Retina. 2019.
Elhusseiny, A. M., Yannuzzi, N. A., & Smiddy, W. E. (2019). Cost Analysis of Pneumatic Retinopexy versus Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. Ophthalmology. Retina, doi:10.1016/j.oret.2019.06.003.
Elhusseiny AM, Yannuzzi NA, Smiddy WE. Cost Analysis of Pneumatic Retinopexy Versus Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. Ophthalmol Retina. 2019 Jun 12; PubMed PMID: 31416765.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cost Analysis of Pneumatic Retinopexy versus Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. AU - Elhusseiny,Abdelrahman M, AU - Yannuzzi,Nicolas A, AU - Smiddy,William E, Y1 - 2019/06/12/ PY - 2019/03/16/received PY - 2019/05/27/revised PY - 2019/06/05/accepted PY - 2019/8/17/entrez JF - Ophthalmology. Retina JO - Ophthalmol Retina N2 - PURPOSE: To perform a cost-utility analysis and comparison between pneumatic retinopexy (PR) and pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD) repair. DESIGN: A cost-utility analysis using decision analysis. PARTICIPANTS: There were no participants. METHODS: A decision analysis model was constructed based on results from the Pneumatic Retinopexy versus Vitrectomy for the Management of Primary Rhegmatogenous Retinal Detachment Outcomes Randomized Trial to calculate the costs, lifetime usefulness, and lifetime cost per quality-adjusted life year (QALY) for the treatment of RRD with PR or PPV. Data from the Centers for Medicare and Medicaid Services were used to calculate the associated adjusted costs in facility and nonfacility practice settings. MAIN OUTCOME MEASURES: Cost of intervention, utility gain over natural history, QALY gained, and cost per QALY. RESULTS: The total imputed costs (all in 2019 United States dollars) for primary repair of RRD in facility and nonfacility settings were $4451 and $2456, respectively, in the PR group and $7108 and $4514, respectively, in the PPV group. The estimated lifetime QALYs gained were 5.9 and 5.4 in the PR and PPV groups, respectively. The cost per QALY for facility and nonfacility settings was $751 and $414, respectively, in the PR group and $1312 and $833, respectively, in the PPV group. CONCLUSIONS: Cost-utility analysis of both PR and PPV demonstrated excellent results for both methods for RRD repair, with the metrics for PR somewhat more favorable independent of the practice settings (facility or nonfacility based). SN - 2468-7219 UR - https://www.unboundmedicine.com/medline/citation/31416765/Cost_Analysis_of_Pneumatic_Retinopexy_versus_Pars_Plana_Vitrectomy_for_Rhegmatogenous_Retinal_Detachment DB - PRIME DP - Unbound Medicine ER -
Unbound Prime app for iOS iPhone iPadUnbound PubMed app for AndroidAlso Available:
Unbound MEDLINE
Unbound PubMed app for Windows