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切割性玻璃眼外科手术和激光疗法的一年成本
Asahi Fujita1,2, Rei Sakata1, Yohei Hashimoto1,2
1Department of Ophthalmology, Graduate School of Medicine, The University of Tokyo.
Annals of clinical epidemiology
|March 20, 2024
概括
导管分流手术承担着最大的一年成本的玻璃眼治疗. 激光疗法比切割性玻璃眼手术更具成本效益,尽管需要进一步的成本效益研究.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
背景情况:
- 评估眼治疗的实际经济负担对于医疗保健管理至关重要.
- 了解切割性玻璃眼手术和激光治疗一年的总成本是必不可少的.
研究的目的:
- 计算与各种切割性玻璃眼手术和激光疗法相关的一年总成本.
- 为了比较不同玻璃眼外科手术和激光治疗的经济影响.
主要方法:
- 使用诊断程序组合数据库的回顾性队列研究 (2010年7月 - 2021年3月).
- 包括接受切割性玻璃眼外科手术 (trabeculectomy,trabeculotomy,管道分流,Ex-PRESS,iStent) 或激光治疗 (激光外周 iridotomy,外科虹膜切除,激光晶眼整形,循环晶眼疗法,循环光凝固) 的患者.
- 分析了一年的总成本,包括住院,重新入院,药物和门诊.
主要成果:
- 青光眼治疗的平均一年总费用为707,497日元.
- 管道分流手术的总成本最高,其次是Ex-PRESS手术,iStent植入和轨道切除术.
- 与切口手术相比,激光治疗的总成本较低,0-19岁年龄组的总成本最高.
结论:
- 管道分流手术代表了一年来最昂贵的玻璃眼干预.
- 带切除术和Ex-PRESS手术涉及到长时间住院和大量的术后费用.
- 激光疗法提供了一个更经济的替代方案,但未来的研究应该评估他们的成本效益与切口手术.
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