Simultaneous bilateral cataract surgery: Economic analysis; Helsinki Simultaneous Bilateral Cataract Surgery Study Report 2
Simultaneous bilateral cataract surgery: Economic analysis; Helsinki Simultaneous Bilateral Cataract Surgery Study Report 2
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DOI：
10.1016/j.jcrs.2010.12.050
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发表时间：
2011-06-01
影响因子：
2.8
通讯作者：
Kivela, Tero
中科院分区：
文献类型：
--
作者：
Leivo, Tiina;Sarikkola, Anna-Ulrika;Kivela, Tero
目得：目的：比较双侧白内障同期手术和同期手术的经济分析。设置：赫尔辛基大学眼科医院，赫尔辛基，芬兰。设计：经济分析。方法：根据一项研究的数据估计效果，该研究中，患者被随机分配在同一天（研究组）或同期（对照组）进行双侧白内障手术。主要临床结局为矫正远视力、屈光度、并发症、视觉功能指数-7（VF-7）评分和患者对视力的满意度。对手术以及术前和术后访视的医疗保健费用进行了估计，包括工作人员、设备、材料、占地面积、管理费用和并发症的费用。这些数据来自员工测量、问卷调查、医院内部记录和会计。旅行、家庭护理和时间的非医疗保健成本是根据随机患者子集的问卷调查估计的。主要的经济结果的措施，每VF-7评分单位的变化和成本，每名患者在同时与顺序surgics.RESULTS：该研究包括520例患者（241例患者包括非医疗保健和时间成本分析）。两组的手术结局和患者满意度相似。同时进行白内障手术为每个病人节省了449欧元的保健费用，如果包括旅费和支付的家庭保健费用，则节省了739欧元。节省加起来（原文如此）849每例患者时，失去的工作时间的成本included.CONCLUSION：与顺序双侧白内障手术相比，同时双侧白内障手术提供了可比的临床结果，大量节省医疗保健和非医疗保健相关的费用。
PURPOSE: To present an economic-analysis comparison of simultaneous and sequential bilateral cataract surgery.SETTING: Helsinki University Eye Hospital, Helsinki, Finland.DESIGN: Economic analysis.METHODS: Effects were estimated from data in a study in which patients were randomized to have bilateral cataract surgery on the same day (study group) or sequentially (control group). The main clinical outcomes were corrected distance visual acuity, refraction, complications, Visual Function Index-7 (VF-7) scores, and patient-rated satisfaction with vision. Health-care costs of surgeries and preoperative and postoperative visits were estimated, including the cost of staff, equipment, material, floor space, overhead, and complications. The data were obtained from staff measurements, questionnaires, internal hospital records, and accountancy. Non-health-care costs of travel, home care, and time were estimated based on questionnaires from a random subset of patients. The main economic outcome measures were cost per VF-7 score unit change and cost per patient in simultaneous versus sequential surgery.RESULTS: The study comprised 520 patients (241 patients included non-health-care and time cost analyses). Surgical outcomes and patient satisfaction were similar in both groups. Simultaneous cataract surgery saved 449 Euros ((sic)) per patient in health-care costs and (sic)739 when travel and paid home-care costs were included. The savings added up to (sic)849 per patient when the cost of lost working time was included.CONCLUSION: Compared with sequential bilateral cataract surgery, simultaneous bilateral cataract surgery provided comparable clinical outcomes with substantial savings in health-care and non-health-care related costs.