Rapid assessment of avoidable blindness-based healthcare costs of diabetic retinopathy in Hungary and its projection for the year 2045
| العنوان: | Rapid assessment of avoidable blindness-based healthcare costs of diabetic retinopathy in Hungary and its projection for the year 2045 |
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| المؤلفون: | Gábor Tóth, Hans Limburg, Zoltán Zsolt Nagy, János Németh, Dorottya Szabó, Gábor László Sándor |
| المصدر: | British Journal of Ophthalmology. 105:1116-1120 |
| بيانات النشر: | BMJ, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Population, Angiogenesis Inhibitors, 030209 endocrinology & metabolism, Blindness, 03 medical and health sciences, Cellular and Molecular Neuroscience, 0302 clinical medicine, Cost of Illness, Diabetes mellitus, Health care, Epidemiology, medicine, Humans, Fluorescein Angiography, education, Socioeconomic status, Aged, Ultrasonography, Estimation, Hungary, education.field_of_study, Diabetic Retinopathy, Laser Coagulation, business.industry, Health Care Costs, Diabetic retinopathy, Middle Aged, medicine.disease, Health Surveys, Sensory Systems, Ophthalmology, Models, Economic, Cost driver, Emergency medicine, 030221 ophthalmology & optometry, Female, business, Tomography, Optical Coherence |
| الوصف: | Background/aimsThe purpose of this study was to estimate the total healthcare cost associated with diabetic retinopathy (DR) in the population aged 18 years and older in Hungary, and its projection for the year 2045.MethodsA cost model was developed based on the standardised rapid assessment of avoidable blindness with the diabetic retinopathy module (RAAB+DRM) methodology and recently reported prevalent-based cost of illness model. Projection for 2045 was made based on the estimation for increasing diabetes mellitus (DM) prevalence of the International Diabetes Federation. Costs were analysed from the perspective of the healthcare system and the patients. Our DR cost model was constructed according to the Scottish DR grading scale and based on the DR severity stadium.ResultsThe total DR-associated healthcare cost was US$145.8 million in 2016 and will increase to US$169.0 million by 2045. The two major cost drivers were intravitreal antivascular endothelial growth factor injections and vitrectomies in this study (US$126.4 million in 2016 and US$146.5 million in 2045); they amounted to 86.7% of the total treatment cost of DR. The DR-related cost per patient was US$180.5 in Hungary.ConclusionsThe cost per patient for treating DR was lower in Hungary than in other countries. Due to the increasing socioeconomic burden of proliferative DR and diabetes-related blindness, it would be important to invest in DR screening, prevention and early treatment. Our new RAAB-based cost of DR model may facilitate comparisons of DR treatment costs across countries. |
| تدمد: | 1468-2079 0007-1161 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::46f9dbd67f14ce7d6dad4b71dddf2dfb https://doi.org/10.1136/bjophthalmol-2020-316337 |
| رقم الأكسشن: | edsair.doi.dedup.....46f9dbd67f14ce7d6dad4b71dddf2dfb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14682079 00071161 |
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