| Cost effectiveness of the type II Boston keratoprosthesis. | |
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MedLine Citation:
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PMID: 21183944 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Despite demonstrated cost effectiveness, not all corneal disorders are amenable to type I Boston keratoprosthesis (KPro) implantation. This includes patients with autoimmune diseases, such as Stevens-Johnson syndrome/toxic epidermal necrolysis. Type II KPro is implanted through the eyelids in severe dry eye and cicatricial diseases, and its cost effectiveness was sought. PATIENTS AND METHODS: In a retrospective chart review, 29 patients who underwent type II KPro surgery at the Massachusetts Eye and Ear Infirmary between the years 2000 and 2009 were identified. A total of 11 patients had 5-year follow-up data. Average cost effectiveness was determined by cost-utility analysis, comparing type II KPro surgery with no further intervention. RESULTS: Using the current parameters, the cost utility of KPro from third-party insurer (Medicare) perspective was 63,196 $/quality-adjusted life year . CONCLUSION: Efforts to refer those less likely to benefit from traditional corneal transplantation or type I KPro, for type II KPro surgery, may decrease both patient and societal costs. |
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Authors:
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J D Ament; T P Stryjewski; S Pujari; S Siddique; G N Papaliodis; J Chodosh; C H Dohlman |
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Publication Detail:
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Type: Journal Article Date: 2010-12-24 |
Journal Detail:
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Title: Eye (London, England) Volume: 25 ISSN: 1476-5454 ISO Abbreviation: Eye (Lond) Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-10 Completed Date: 2011-08-18 Revised Date: 2013-05-27 |
Medline Journal Info:
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Nlm Unique ID: 8703986 Medline TA: Eye (Lond) Country: England |
Other Details:
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Languages: eng Pagination: 342-9 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA. jaredament@post.harvard.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cohort Studies Cornea / surgery Corneal Diseases / economics*, surgery Cost-Benefit Analysis Female Health Care Costs* Humans Male Middle Aged Ophthalmologic Surgical Procedures / economics Prostheses and Implants / economics* Prosthesis Implantation / economics* Retrospective Studies |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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