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首页> 外文期刊>Cost Effectiveness Resource Allocation >Budget impact analysis of lens material on the posterior capsule opacification (PCO) as a complication after the cataract surgery
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Budget impact analysis of lens material on the posterior capsule opacification (PCO) as a complication after the cataract surgery

机译：后胶囊透明度（PCO）晶状体材料的预算冲击分析作为白内障手术后的并发症

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Background:Over 300,000 cataract operations are performed in Poland every year, and the most common, late complication of cataract removal surgery is posterior capsule opacification (PCO). The risk of PCO depends on the lens material. Hydrophobic acrylic lenses cause PCO less frequently as lymphatic endothelial cells show lower affinity for the surface of the lens made of silicone. The objective of this study is to assess the economic impact of using hydrophobic acrylic lenses compared to using hydrophilic acrylic lenses for cataract treatment in the Polish inpatient and outpatient settings.Methods:A budget impact analysis (BIA) compared the economic outcomes associated with using hydrophobic acrylic lenses versus using hydrophilic lenses for patients undergoing cataract surgery. The BIA predicted annual expenses in the following scenarios: performing Nd:YAG to treat PCO within 2 and 3?years after implantation of hydrophobic or hydrophilic acrylic lenses for different lens structure. Data used to assess the frequency of PCO was determined in systematic literature review. Costs of current and predicted interventions were estimated based on average data from 19 Polish hospitals. Prices of health services were taken from official public tariff lists.Results:The use of a hydrophobic lens significantly limits the number of complications after cataract surgery relative to a hydrophilic lens. As hydrophobic lenses have a higher unit price their use increases the cost of treatment which currently is not reflected by adequate difference in price of the service. Total annual National Health Fund (NHF) expenses for 3-year follow-up model range from 139.1 million EUR to 143.1 million EUR depending on the lens structure, due to the cost of complications.Conclusions:BIA indicates the possibility of introducing surcharge for the use of hydrophobic lenses, which could increase the frequency of their use and reduce the number of complications after cataract surgery. It was estimated that total NHF expenses reach the minimum value for the surcharge at the level of 9 EUR. The surcharge of 14 EUR is the maximum value that does not increase the initial NHF expenses.? The Author(s) 2020.
机译：背景：每年在波兰进行超过300,000个白内障作用，并且最常见的白内障移除手术和后期并发症是后胶囊透露（PCO）。 PCO的风险取决于镜片材料。疏水性丙烯酸透镜引起PCO，因为淋巴内皮细胞显示对由硅氧烷制成的透镜表面的较低亲和力。本研究的目的是评估使用疏水性丙烯酸透镜的经济影响，与使用热水丙烯酸透镜用于在波兰住院病患者和门诊设施中使用亲水性丙烯酸透镜。方法：预算影响分析（BIA）与使用疏水相关的经济结果进行了比较丙烯酸镜片与亲水镜片用于接受白内障手术的患者。 BIA预计以下情景中的年度费用：执行ND：YAG以在植入不同透镜结构的疏水或亲水丙烯酸透镜的疏水或亲水性丙烯酸透镜后的2和3内。用于评估PCO频率的数据在系统文献综述中确定。基于来自19个波兰医院的平均数据估计了当前和预测干预的成本。卫生服务的价格来自官方公共关税名单。结果：使用疏水性镜片的使用显着限制了相对于亲水镜片的白内障手术后的并发症次数。由于疏水性镜片具有更高的单位价格，因此它们的使用增加了当前不受服务价格的充分差异的处理成本。由于复发成本，每年全国卫生基金（NHF）3年后续型号的费用为3年的3年后续模型的费用为13.91亿欧元至14.31亿欧元。结论：BIA表明BIA表示介绍附加费使用疏水性镜片，可以增加其使用的频率，并减少白内障手术后的并发症数量。据估计，NHF费用总额达到9欧元的附加费的最低价值。 14欧元的附加费是不增加初始NHF费用的最大值。作者2020年。

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