ABSTRACT
PURPOSE: To evaluate the total cost of treatment of diabetic retinopathy by argon laser for a patient when indicated. PATIENTS AND METHOD: Prospective cross-sectional and descriptive survey, carried out in the angiography and laser center of the Yaoundé Central Hospital from October 2014 to October 2015. All consecutive diabetic patients with retinopathy and suitable indication for argon laser treatment were included. The costs related to the initial and final fluorescein angiography, the appointment for follow-up, round-trip transportation costs from the patient's home and the cost of laser treatment were included. RESULTS: Included were 43 (13 %) patients out of 330 with diabetic retinopathy. The mean age was 55.67±8.40years. There were 25 women (58.1 %) and 18 men (41.9 %) for a M/F ratio of 0.7. Unemployed patients were represented by 28 (65.1 %) versus 15 employed (34.9 %). Twenty-seven patients (62.8 %) were self-pay for all their expenses, 14 (32.6 %) were assisted by their families, and 2 (4.6 %) were insured. On average, the total expenditure was 86002±67197 f CFA per eye, corresponding to 131±102 euros with an exchange rate of 1 euro for 656 f CFA. CONCLUSION: The cost of treatment of diabetic retinopathy by argon laser is high, mostly increased by the additional costs related to transportation in our area. The creation of satellite centers in the 10 regions of Cameroon would reduce these costs.
Subject(s)
Cost of Illness , Diabetic Retinopathy/surgery , Health Care Costs , Laser Coagulation/economics , Lasers, Gas/therapeutic use , Absenteeism , Aged , Cameroon/epidemiology , Cross-Sectional Studies , Diabetic Retinopathy/diagnostic imaging , Diabetic Retinopathy/economics , Diabetic Retinopathy/epidemiology , Female , Fluorescein Angiography/economics , Health Care Costs/statistics & numerical data , Humans , Insurance , Male , Medically Uninsured , Middle Aged , Prospective Studies , Transportation/economicsABSTRACT
But: Evaluer les résultats fonctionnels de la chirurgie de la cataracte à l'Hôpital Gynéco Obstétrique et Pédiatrique de Douala (HGOPED). Méthodologie: Nous avons mené une étude descriptive et rétrospective. Nous avons colligé les dossiers des patients opérés de cataracte entre le 1er Janvier 2016 et le 31 Décembre 2017. Nous avons classé les meilleures acuités visuelles de loin corrigées (AVLC) en: faibles (AV Ë 1/10), moyennes (1/10 ⤠AV Ë 3/10) ou bonnes (AV ⥠3/10). Résultats: Trente-deux dossiers de patients ont été sélectionnés pour 38 cataractes opérées. L'âge moyen était de 59,06 ± 16,68 ans avec un sex ratio de 0,77. Avant la chirurgie, la meilleure acuité visuelle de loin corrigée était faible pour 44,7% des yeux et moyenne pour 39,5%. L'acuité visuelle était de 4/10 pour 15,8% des yeux. Un mois après la chirurgie, elle était moyenne pour 23,7% des yeux et bonne pour 76,3%. Après 2 mois, tous les yeux examinés avaient une bonne acuité visuelle. Conclusion: La chirurgie de la cataracte est effective et les résultats fonctionnels sont encourageants à l'HGOPED
