在日本,青光眼治疗的实践模式和成本
Asahi Fujita1,2, Yohei Hashimoto3,4, Akira Okada5
1Department of Clinical Epidemiology and Health Economics, School of Public Health, University of Tokyo, Tokyo, Japan. afujita@m.u-tokyo.ac.jp.
Japanese journal of ophthalmology
|June 24, 2023
概括
日本的玻璃眼瘤护理显示,眼滴的使用越来越多,程序趋势也在变化. 直接治疗费用平均为每年55139日元,检查和药物是最大的成本驱动因素.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 了解现实世界眼病护理模式和成本对于优化医疗保健费用至关重要.
- 日本的眼治疗趋势和相关成本在很大程度上是未知的.
研究的目的:
- 分析日本的青光眼治疗趋势和相关成本.
- 利用大型的行政索赔数据库来获得全面的见解.
主要方法:
- 使用DeSC数据库进行的回顾性队列研究 (2014年4月 - 2021年3月).
- 对抗白内障眼滴,手术/激光手术以及眼科检查频率和成本的分析.
- 基于2020年分布的数据的年龄标准化,用于逐年分析.
主要成果:
- 分析了超过841,747个患者年;随着年龄的增长,滴眼药的处方量增加,而固定的组合使用量减少.
- 轨道切除术的频率下降,激光轨道切除术的频率增加;手术在75-79岁年龄组达到顶峰.
- 2020年,每年每名患者的年费为55,139日元 (399.5美元),其中药物 (44.2%) 和检查 (47.4%) 主导.
结论:
- 这项研究提供了对日本当前青光眼治疗实践和经济负担的宝贵见解.
- 调查结果可以为医疗保健政策和对绿眼病管理的资源分配提供信息.
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