April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Cost-effectiveness Analysis Of The Screening Strategies For Open Angle Glaucoma
Author Affiliations & Notes
  • Alvine A. Kamdeu Fansi
    University of Montreal, Montreal, Quebec, Canada
    McGill University, Montreal, Quebec, Canada
  • Jason R. Guertin
    University of Montreal, Montreal, Quebec, Canada
  • Gisèle Li
    University of Montreal, Montreal, Quebec, Canada
  • Paul Harasymowycz
    University of Montreal, Montreal, Quebec, Canada
  • Elham Rahme
    McGill University, Montreal, Quebec, Canada
  • Jacques LeLorier
    University of Montreal, Montreal, Quebec, Canada
  • Footnotes
    Commercial Relationships  Alvine A. Kamdeu Fansi, None; Jason R. Guertin, None; Gisèle Li, None; Paul Harasymowycz, None; Elham Rahme, None; Jacques LeLorier, None
  • Footnotes
    Support  Glaucoma Research Society of Canada
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 5056. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Alvine A. Kamdeu Fansi, Jason R. Guertin, Gisèle Li, Paul Harasymowycz, Elham Rahme, Jacques LeLorier; Cost-effectiveness Analysis Of The Screening Strategies For Open Angle Glaucoma. Invest. Ophthalmol. Vis. Sci. 2011;52(14):5056.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: : To assess the cost effectiveness of various strategies of screening for open angle glaucoma.

Methods: : A decision analysis model using TreeAge Pro software was created to compare screening of at risk subjects using strategy combination of different strategies screening methods including Frequency Doubling Technology perimeter (FDT), scanning laser ophthalmoscopy (HRT3). We simulated one screening session in a population composed of 10,000 at risk subjects. Data input of cost and effectiveness of the devices were extracted from the Mobile glaucoma screening project in high risk populations and the Régie de l’assurance maladie du Québec (RAMQ).

Results: : Our cost-effectiveness model demonstrated that the cost for using combination strategy including tonometry and HRT3 as screening tools was estimated at $CA 412,233, and detected a total of 350 true cases per 10,000 screened subjects (C/E ratio of $CA 1178 per true case detected). The use of tonometry and visual field (FDT) for screening purpose had a cost of $CA 269,633 and 410 true cases per 10,000 screened subjects. Finally, combining tonometry, FDT and HRT3 results of cost of $CA 571 633 with 286 true cases detected

Conclusions: : Screening with tonometry and FDT would imply additional cases detected compared to tonometry and HRT. Further studies are needed to determine the best way to integrate these findings in a national screening programme.

Keywords: clinical (human) or epidemiologic studies: health care delivery/economics/manpower • optic nerve • clinical (human) or epidemiologic studies: systems/equipment/techniques 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×