| Economic costs of cataract surgery using a rigid and a foldable intraocular lens. | |
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MedLine Citation:
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PMID: 11430619 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Optimal delivery of healthcare requires consideration of various costs. A foldable intraocular lens (IOL) is more expensive than an equivalent rigid IOL. However, surgical and post-operative costs may make a foldable IOL economically preferable. We compared the economic costs of cataract surgery plus implantation of a foldable IOL with implantation of a rigid IOL. Prospective audit of the clinical records of 82 pseudophakes; 39 implanted with a rigid IOL and 43 implanted with a foldable IOL by one surgeon. Average follow-up periods were 25 +/- 7 months and 23 +/- 5 months respectively. There was no difference between the two groups for the follow-up period (P = 0.55), number of post-operative complications (P = 0.25) or cost of post-operative visits (P = 0.83). The cost of single-use theatre equipment was greater for the rigid-IOL group (P= 0.0001). The total identified cost per patient was greater for the foldable-IOL group (P = 0.0001). Despite possible technical advantages, implantation of the foldable IOL did not provide an economic benefit, either in the initial cost or in the costs of post-operative care. Over the 2-year period, implanting with the rigid IOL cost, on average, Pound Sterling57 less per patient. Despite this economic difference, a cost-benefit analysis is required, since other factors may be more important. |
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Authors:
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A J Afsar; R L Woods; S Pate; F Rogan; W Wykes |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) Volume: 21 ISSN: 0275-5408 ISO Abbreviation: Ophthalmic Physiol Opt Publication Date: 2001 Jul |
Date Detail:
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Created Date: 2001-06-29 Completed Date: 2001-07-19 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8208839 Medline TA: Ophthalmic Physiol Opt Country: England |
Other Details:
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Languages: eng Pagination: 262-7 Citation Subset: IM |
Affiliation:
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Department of Vision Sciences, Glasgow Caledonian University, Scotland, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Surgical Procedures
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economics Cataract Extraction / economics*, methods Follow-Up Studies Hospital Costs* Humans Lens Implantation, Intraocular / economics Lenses, Intraocular / economics* Medical Audit Phacoemulsification / economics* Postoperative Complications Prospective Studies Scotland |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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