Costs and Healthcare Resource Utilization Associated with Posterior Capsule Opacification After Cataract Surgery with Five Different Intraocular Lenses: An Economic Analysis for Spain
José I Belda,1 Javier Placeres,1 Juan Carlos Elvira,2 Xavier Puig,3 Caridad Pérez-Vives,4 Ming Zou,5 Shaohui Sun,5 Jing Yu,5 Derek O’Boyle6 1Hospital Universitario de Torrevieja, Torrevieja, Alicante, Spain; 2Hospital Universitario del Vinalopó, Elche, Alicante, Spain; 3Alcon Healthcare, S.A, Barcel...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-03-01
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| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/costs-and-healthcare-resource-utilization-associated-with-posterior-ca-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1828873025733263360 |
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| author | Belda JI Placeres J Elvira JC Puig X Pérez-Vives C Zou M Sun S Yu J O'Boyle D |
| author_facet | Belda JI Placeres J Elvira JC Puig X Pérez-Vives C Zou M Sun S Yu J O'Boyle D |
| author_sort | Belda JI |
| collection | DOAJ |
| description | José I Belda,1 Javier Placeres,1 Juan Carlos Elvira,2 Xavier Puig,3 Caridad Pérez-Vives,4 Ming Zou,5 Shaohui Sun,5 Jing Yu,5 Derek O’Boyle6 1Hospital Universitario de Torrevieja, Torrevieja, Alicante, Spain; 2Hospital Universitario del Vinalopó, Elche, Alicante, Spain; 3Alcon Healthcare, S.A, Barcelona, Spain; 4Alcon Management SA, Cointrin, Switzerland; 5IQVIA Real World Solutions, Basel, Switzerland; 6Alcon Laboratories Ireland Ltd., Cork, IrelandCorrespondence: Derek O’Boyle, Alcon Laboratories Ireland Ltd., Cork, Ireland, Email derek.oboyle@Alcon.comPurpose: To estimate the economic impact of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy and its related complications for five different intraocular lenses (IOLs) from the payer and hospital perspectives in Spain.Materials and Methods: The three-year incidence rates of Nd:YAG laser capsulotomy after cataract surgery with five different single-piece acrylic monofocal IOLs (AcrySof IOLs, AJL LLASY60, IOL Tech Stabibag, Medicontur Bi-flex, Zeiss Asphina) for 8293 patients were derived from odds ratios of multivariate analysis adjusted for age, gender, and diabetic retinopathy. A cost-consequence model for a hypothetical cohort of 2000 eyes was then developed to quantify the potential impact of Nd:YAG capsulotomy in terms of costs and time for each of the included IOLs, from the payer and hospital perspectives.Results: The adjusted three-year Nd:YAG laser capsulotomy incidence was 5.0% (95% CI 3.9 to 6.1) for AcrySof and ranged from 26.0% to 44.0% for the other four IOLs. The average costs of Nd:YAG treatment and related complications were € 261.90 for payers and € 19.99 for hospitals. The average time needed for Nd:YAG treatment and related complications was 32.82 minutes. Model estimates based on 2000 hypothetical cataract surgeries showed that AcrySof IOLs could lead to cost savings between € 110,259.90 and € 205,591.50 for payers. For hospitals, time, and cost savings with AcrySof ranged from 230.29 hours and € 8415.79 compared to Zeiss Asphina to 429.40 hours and € 15,692.15 compared to AJL LLASY60 IOLs.Conclusion: Post cataract surgery, AcrySof IOLs were associated with a significantly lower incidence of Nd:YAG treatment and its subsequent complications compared to other IOLs. Our analysis shows that IOL choice is an important factor that can reduce the burden for patients, payers, and hospitals.Keywords: cost, resources, Nd:YAG capsulotomy, cataract, PCO, IOL |
| first_indexed | 2024-12-13T07:06:41Z |
| format | Article |
| id | doaj.art-4b425e03f2ac47e9b80707b2d5ea0ab2 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-13T07:06:41Z |
| publishDate | 2022-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-4b425e03f2ac47e9b80707b2d5ea0ab22022-12-21T23:55:47ZengDove Medical PressClinical Ophthalmology1177-54832022-03-01Volume 16993100174110Costs and Healthcare Resource Utilization Associated with Posterior Capsule Opacification After Cataract Surgery with Five Different Intraocular Lenses: An Economic Analysis for SpainBelda JIPlaceres JElvira JCPuig XPérez-Vives CZou MSun SYu JO'Boyle DJosé I Belda,1 Javier Placeres,1 Juan Carlos Elvira,2 Xavier Puig,3 Caridad Pérez-Vives,4 Ming Zou,5 Shaohui Sun,5 Jing Yu,5 Derek O’Boyle6 1Hospital Universitario de Torrevieja, Torrevieja, Alicante, Spain; 2Hospital Universitario del Vinalopó, Elche, Alicante, Spain; 3Alcon Healthcare, S.A, Barcelona, Spain; 4Alcon Management SA, Cointrin, Switzerland; 5IQVIA Real World Solutions, Basel, Switzerland; 6Alcon Laboratories Ireland Ltd., Cork, IrelandCorrespondence: Derek O’Boyle, Alcon Laboratories Ireland Ltd., Cork, Ireland, Email derek.oboyle@Alcon.comPurpose: To estimate the economic impact of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy and its related complications for five different intraocular lenses (IOLs) from the payer and hospital perspectives in Spain.Materials and Methods: The three-year incidence rates of Nd:YAG laser capsulotomy after cataract surgery with five different single-piece acrylic monofocal IOLs (AcrySof IOLs, AJL LLASY60, IOL Tech Stabibag, Medicontur Bi-flex, Zeiss Asphina) for 8293 patients were derived from odds ratios of multivariate analysis adjusted for age, gender, and diabetic retinopathy. A cost-consequence model for a hypothetical cohort of 2000 eyes was then developed to quantify the potential impact of Nd:YAG capsulotomy in terms of costs and time for each of the included IOLs, from the payer and hospital perspectives.Results: The adjusted three-year Nd:YAG laser capsulotomy incidence was 5.0% (95% CI 3.9 to 6.1) for AcrySof and ranged from 26.0% to 44.0% for the other four IOLs. The average costs of Nd:YAG treatment and related complications were € 261.90 for payers and € 19.99 for hospitals. The average time needed for Nd:YAG treatment and related complications was 32.82 minutes. Model estimates based on 2000 hypothetical cataract surgeries showed that AcrySof IOLs could lead to cost savings between € 110,259.90 and € 205,591.50 for payers. For hospitals, time, and cost savings with AcrySof ranged from 230.29 hours and € 8415.79 compared to Zeiss Asphina to 429.40 hours and € 15,692.15 compared to AJL LLASY60 IOLs.Conclusion: Post cataract surgery, AcrySof IOLs were associated with a significantly lower incidence of Nd:YAG treatment and its subsequent complications compared to other IOLs. Our analysis shows that IOL choice is an important factor that can reduce the burden for patients, payers, and hospitals.Keywords: cost, resources, Nd:YAG capsulotomy, cataract, PCO, IOLhttps://www.dovepress.com/costs-and-healthcare-resource-utilization-associated-with-posterior-ca-peer-reviewed-fulltext-article-OPTHcostresourcesnd:yag capsulotomycataractpcoiol |
| spellingShingle | Belda JI Placeres J Elvira JC Puig X Pérez-Vives C Zou M Sun S Yu J O'Boyle D Costs and Healthcare Resource Utilization Associated with Posterior Capsule Opacification After Cataract Surgery with Five Different Intraocular Lenses: An Economic Analysis for Spain Clinical Ophthalmology cost resources nd:yag capsulotomy cataract pco iol |
| title | Costs and Healthcare Resource Utilization Associated with Posterior Capsule Opacification After Cataract Surgery with Five Different Intraocular Lenses: An Economic Analysis for Spain |
| title_full | Costs and Healthcare Resource Utilization Associated with Posterior Capsule Opacification After Cataract Surgery with Five Different Intraocular Lenses: An Economic Analysis for Spain |
| title_fullStr | Costs and Healthcare Resource Utilization Associated with Posterior Capsule Opacification After Cataract Surgery with Five Different Intraocular Lenses: An Economic Analysis for Spain |
| title_full_unstemmed | Costs and Healthcare Resource Utilization Associated with Posterior Capsule Opacification After Cataract Surgery with Five Different Intraocular Lenses: An Economic Analysis for Spain |
| title_short | Costs and Healthcare Resource Utilization Associated with Posterior Capsule Opacification After Cataract Surgery with Five Different Intraocular Lenses: An Economic Analysis for Spain |
| title_sort | costs and healthcare resource utilization associated with posterior capsule opacification after cataract surgery with five different intraocular lenses an economic analysis for spain |
| topic | cost resources nd:yag capsulotomy cataract pco iol |
| url | https://www.dovepress.com/costs-and-healthcare-resource-utilization-associated-with-posterior-ca-peer-reviewed-fulltext-article-OPTH |
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