AI Article Synopsis
- The study used a Markov model to estimate the long-term economic impact of glaucoma treatment in France, focusing on various treatment options and their associated costs.
- Discounted medical costs were found to be €7,322 for ocular hypertension and €8,488 for glaucoma patients, with social costs being higher than medical costs.
- Initiating treatment with the most effective drug not only reduced overall costs but also emphasized the importance of considering broader economic factors in public health decisions regarding glaucoma care.
Article Abstract
Objective: To estimate the lifetime economic consequences of glaucoma in France.
Methods: A Markov model estimated the average discounted outcome and cost of glaucoma treatment over a patient's lifetime. Clinical states were defined as first- to fourth-line drugs, no treatment, laser therapy, surgery, blindness and death. After each failure (always after the fourth-line drug) patients could receive either laser treatment or surgery followed by no treatment, or a new treatment. A societal perspective was adopted. Sensitivity analyses were performed.
Results: Discounted medical costs were euro 7,322 for ocular hypertension treatment (OHT) and euro 8,488 for a glaucoma patient. Social costs of OHT and glaucoma patients exceeded medical costs. First-line use of the most effective drug would reduce medical and social costs. Societal willingness to pay for the vision benefit would equal the medical costs. Treatment initiated with the most effective drug is a cost saving strategy.
Conclusions: Public health decisions in glaucoma treatment should take a broad economic view embracing the lifetime duration of the disease. There is still a place both within and outside the healthcare system for therapeutic innovations with important economic consequences that bring high added value to patients.
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| http://dx.doi.org/10.3111/13696990902728729 | DOI Listing |
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