Navigated laser in diabetic macular edema: the impact of reduced injection burden on patients and physicians-who wins and who loses?

We inquired the impact of reduced therapy discontinuation in diabetic macular edema (DME) on physician’s revenue considering anti-vascular endothelial growth factor (VEGF) monotherapy and its combination with Navilas treatment. Data were collected on injection frequency, treatment discontinuation an...

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Main Authors: Jacob Menzler, Aljoscha Neubauer, Focke Ziemssen
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-02-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.cn/en_publish/2019/2/20190224.pdf
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author Jacob Menzler
Aljoscha Neubauer
Focke Ziemssen
author_facet Jacob Menzler
Aljoscha Neubauer
Focke Ziemssen
author_sort Jacob Menzler
collection DOAJ
description We inquired the impact of reduced therapy discontinuation in diabetic macular edema (DME) on physician’s revenue considering anti-vascular endothelial growth factor (VEGF) monotherapy and its combination with Navilas treatment. Data were collected on injection frequency, treatment discontinuation and reimbursement fees for DME treatment with anti-VEGF compared to anti-VEGF in combination with navigated laser. Based on these data an economic model was built to compare physicians revenue over a 5y period using either therapy for 4 European countries and the USA. Due to patients’ higher therapy adherence, physicians using navigated laser therapy with anti-VEGF generate similar or higher revenues compared to VEGF monotherapy in all analyzed countries. The use of Navilas decreases the patient’s injection burden at the same clinical outcome, while the physician’s revenue remained stable or increased. Therewith, therapy discontinuation in DME can be reduced using the combination therapy with Navilas.
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spelling doaj.art-4a1ddf00689840cc864e3c4005690eb22022-12-22T00:52:05ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982019-02-0112234234510.18240/ijo.2019.02.24Navigated laser in diabetic macular edema: the impact of reduced injection burden on patients and physicians-who wins and who loses?Jacob Menzler0Aljoscha Neubauer1Focke Ziemssen2Institute for Health and Pharmacoeconomics, Muenchen 81739, GermanyInstitute for Health and Pharmacoeconomics, Muenchen 81739, Germany; Private Practice Ophthalmology, Muenchen 81739, GermanyCenter for Ophthalmology, Eberhard-Karls University, Tuebingen 72076, GermanyWe inquired the impact of reduced therapy discontinuation in diabetic macular edema (DME) on physician’s revenue considering anti-vascular endothelial growth factor (VEGF) monotherapy and its combination with Navilas treatment. Data were collected on injection frequency, treatment discontinuation and reimbursement fees for DME treatment with anti-VEGF compared to anti-VEGF in combination with navigated laser. Based on these data an economic model was built to compare physicians revenue over a 5y period using either therapy for 4 European countries and the USA. Due to patients’ higher therapy adherence, physicians using navigated laser therapy with anti-VEGF generate similar or higher revenues compared to VEGF monotherapy in all analyzed countries. The use of Navilas decreases the patient’s injection burden at the same clinical outcome, while the physician’s revenue remained stable or increased. Therewith, therapy discontinuation in DME can be reduced using the combination therapy with Navilas.http://www.ijo.cn/en_publish/2019/2/20190224.pdfdiabetic macular edemalaser therapynavilascost-effectivenessinjection burdenadherence
spellingShingle Jacob Menzler
Aljoscha Neubauer
Focke Ziemssen
Navigated laser in diabetic macular edema: the impact of reduced injection burden on patients and physicians-who wins and who loses?
International Journal of Ophthalmology
diabetic macular edema
laser therapy
navilas
cost-effectiveness
injection burden
adherence
title Navigated laser in diabetic macular edema: the impact of reduced injection burden on patients and physicians-who wins and who loses?
title_full Navigated laser in diabetic macular edema: the impact of reduced injection burden on patients and physicians-who wins and who loses?
title_fullStr Navigated laser in diabetic macular edema: the impact of reduced injection burden on patients and physicians-who wins and who loses?
title_full_unstemmed Navigated laser in diabetic macular edema: the impact of reduced injection burden on patients and physicians-who wins and who loses?
title_short Navigated laser in diabetic macular edema: the impact of reduced injection burden on patients and physicians-who wins and who loses?
title_sort navigated laser in diabetic macular edema the impact of reduced injection burden on patients and physicians who wins and who loses
topic diabetic macular edema
laser therapy
navilas
cost-effectiveness
injection burden
adherence
url http://www.ijo.cn/en_publish/2019/2/20190224.pdf
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