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O. L. Lee, S. R. Tari, C. M. Samson; Cost-Analysis of Uveitis Patient Visits at the New York Eye and Ear Infirmary. Invest. Ophthalmol. Vis. Sci. 2007;48(13):2406.
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The purpose of this study is to examine direct costs associated with the management of patients with ocular inflammatory diseases at a tertiary care eye center.
A retrospective review was done of all patients seen at the New York Eye and Ear Infirmary in 2005 with a primary diagnosis of anterior uveitis, posterior uveitis, panuveitis, pars planitis, and scleritis.
A total of 1189 patients were seen on 2966 separate visits, including 5 inpatient stays. A total expenditure of $493k was spent on office visits, ancillary testing, inpatient surgery and admissions. Anterior uveitis was the most common diagnosis, accounting for 80% of all patients seen and 62% of total expenditure. While a cumulative average of $415 worth of services was spent per patient, expenditure on panuveitis patients averaged $791 per patient. Eleven percent of patients had laboratory workup done at the hospital, with the most popular tests ordered being MHA-TP, CBC, ANA and ACE. Proportionately more patients with panuveitis had laboratory investigations than any other group. Chest X-ray accounted for the vast majority of radiological studies performed at our institution for uveitis patients. The most common surgical procedures performed on inpatients admitted with uveitic diagnoses were vitrectomy, cataract extraction and intravitreal kenalog injection.
In conclusion, uveitis patients require a variety of resources in the setting of a tertiary care eye center. Direct costs on average are at least four times that of a patient seen for routine eye care, and significantly greater in patients with panuveitis.
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