Cost-Effectiveness Comparison Between Monofocal and Multifocal Intraocular Lens Implantation for Cataract Patients in Taiwan
Cost-Effectiveness Comparison Between Monofocal and Multifocal Intraocular Lens Implantation for Cataract Patients in Taiwan
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DOI：
10.1016/j.clinthera.2014.07.009
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发表时间：
2014-10-01
影响因子：
3.2
通讯作者：
Yang, Ming-Chin
中科院分区：
文献类型：
--
作者：
Lin, Jen-Chieh;Yang, Ming-Chin
目的：我们的目的是进行成本效益分析（CEA）的单焦点和多焦点人工晶状体（IOL）的白内障patients in Taiwan.Methods：这项前瞻性非随机研究的目的是通过视觉性能，视觉质量，视觉相关的生活质量，和视力独立率来评估单焦点和多焦点人工晶状体的有效性。直接成本的计算方法为医疗服务收费表的支付点乘以治疗项目。增量成本效果比的概念被用来评估不同类型的人工晶状体在白内障手术中的成本和术后outcomes in patients.Findings：共61例患者从单焦点人工晶状体组（n = 21），多焦点人工晶状体组1（n = 22），多焦点人工晶状体组2（n = 18）谁完成了这项研究被纳入分析。在平均年龄或患者与眼睛的比率方面没有观察到显著差异。观察到单焦点和多焦点IOL矫正后的有效性仅在眩光条件下的无眩光率和单眼对比敏感度方面存在显著差异。单焦点IOL与多焦点IOL的增量成本-效果比表明，每增加1%的患者独立率，额外花费57至58美元（美元）。(C)2014 Elsevier HS Journals，Inc. All rights reserved.
Purpose: Our aim was to conduct a cost-effectiveness analysis (CEA) of monofocal and multifocal intraocular lenses (IOLs) for cataract patients in Taiwan.Methods: This prospective nonrandomized study was designed to evaluate the effectiveness of monofocal and multifocal IOLs by means of visual performance, visual quality, vision-related quality of life, and spectacle-independence rates. The direct costs were calculated using the payment points of the fee schedule for medical services multiplied by the treatment items. The concept of incremental cost effectiveness ratios was used to evaluate the costs of different types of IOLs in cataract surgery and postoperative outcomes in patients.Findings: A total of 61 patients from the monofocal IOL group (n = 21), multifocal IOL group 1 (n = 22), and multifocal IOL group 2 (n = 18) who completed the study were included in the analysis. No significant differences were observed in mean ages or patient to eye ratio. Significant differences in effectiveness after the implantations of monofocal and multifocal IOLs were observed for spectacle-free rate and monocular contrast sensitivity under glare conditions only. The incremental cost-effectiveness ratios of monofocal versus multifocal IOLs indicated that it cost an additional $57 to $58 (US dollars) to increase each 1% of the spectacle-independence rate. (C) 2014 Elsevier HS Journals, Inc. All rights reserved.