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An economic analysis of selective laser trabeculoplasty versus topical prostaglandin analogues as initial therapy for primary open-angle glaucoma in a tertiary government hospital in the Philippines
Philippine Journal of Ophthalmology ; : 4-9, 2023.
Artigo em Inglês | WPRIM | ID: wpr-982912
ABSTRACT
Objective@# This study compared the economic viability of initial medical therapy with topical prostaglandin analogues (PGAs) versus selective laser trabeculoplasty (SLT) in the treatment of primary open-angle glaucoma (POAG).@*Method@#This was an economic analysis using actual, current treatment costs of PGA therapy versus SLT applied to theoretical, literature-derived clinical efficacy data projected for a period of 19 years. A socioeconomic and demographic survey conducted among POAG patients at the Department of Health Eye Center of the East Avenue Medical Center from March-April 2022 provided the economic context and setting for the analysis. The treatment regimens were compared in terms of total cost, clinical efficacy, cost-effectiveness and cost-utility in the setting of a tertiary government hospital.@*Results@#Thirty-one (31) patients were included in the study. The total annual cost of topical PGAs was Philippine Pesos (Php) 13,532 versus Php 6,195 for SLT. Cost-effectiveness was Php 1,933 for PGAs/mmHg reduction in intraocular pressure (IOP) versus Php 983 for SLT. Cost-utility was Php 59,793/Quality Adjusted Life Years (QALY) gained for PGAs versus Php 27,373/QALY gained for SLT projected for 19 years. With government insurance coverage, cost-utility ratio was Php 47,831/QALY gained for topical PGAs versus 16,327/QALY gained for SLT.@*Conclusion@#In POAG patients, SLT was more cost-effective versus PGAs with a lower cost per mmHg IOP reduction, and lower cost-utility ratio for every QALY gained. SLT can be recommended as initial therapy for POAG especially for patients being treated at tertiary government hospitals.
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Índice: WPRIM (Pacífico Ocidental) Assunto principal: Filipinas / Prostaglandinas Sintéticas / Glaucoma / Anos de Vida Ajustados por Qualidade de Vida / Economia País/Região como assunto: Ásia Idioma: Inglês Revista: Philippine Journal of Ophthalmology Ano de publicação: 2023 Tipo de documento: Artigo

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Índice: WPRIM (Pacífico Ocidental) Assunto principal: Filipinas / Prostaglandinas Sintéticas / Glaucoma / Anos de Vida Ajustados por Qualidade de Vida / Economia País/Região como assunto: Ásia Idioma: Inglês Revista: Philippine Journal of Ophthalmology Ano de publicação: 2023 Tipo de documento: Artigo