对开放角度眼管理的成本效益分析的审查
Shefali Sood1, Mina Iskander2, Noah Heilenbach3
1Department of Ophthalmology, Georgetown University School of Medicine, Washington, DC.
Journal of glaucoma
|June 13, 2023
概括
对格朗瘤管理的成本效益分析 (CEA) 是非结构化的,导致不清楚的临床指导. 需要更多的标准化研究,以有效指导开角绿内障的治疗,查和坚持策略.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 临床管理 临床管理
背景情况:
- 对于患者,纳税人和医生来说,玻璃眼治疗的成本正在上升.
- 成本效益分析 (CEA) 对于评估干预措施至关重要.
- 了解CEA在青光眼中的作用对于明智的决策至关重要.
研究的目的:
- 调查CEA在绿眼病管理中的作用.
- 确定CEA如何影响美国的临床实践.
- 评估目前在开放角眼中研究成本效益的现状.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括关于美国开放角眼病管理中的成本效益或成本效益的全文文章.
- 偏见风险评估使用乔安娜·布里格斯研究所经济评估的批判性评估清单.
主要成果:
- 包括1983年至2021年间发表的18项研究.
- 大多数CEA专注于治疗/治疗 (14项研究),其次是查 (2) 和遵守 (2).
- 方法,投入,结果指标和时间跨度在不同研究中差异很大.
结论:
- 美国青光眼的成本效益研究目前是无结构的.
- 现有CEA对临床管理的影响不明确且矛盾.
- 需要在绿眼的护理中进行更标准化和更强大的经济评估.
相关概念视频
Open Angle Glaucoma: Treatment
491
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
491
Angle Closure Glaucoma: Treatment
578
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
578
Glaucoma: Overview
633
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
633


