Cost and detection rate of glaucoma screening with imaging devices in a primary care center
Autor/a
Antón López, Alfonso
Fallon, Mónica
Cots Reguant, Francesc
Sebastian, María A.
Morilla Grasa, Antonio
Mojal, Sergi
Castells, Xavier
Fecha de publicación
2017-02-16ISSN
1177-5483
Resumen
Purpose: To analyze the cost and detection rate of a screening program for detecting glaucoma with imaging devices.
Materials and methods: In this cross-sectional study, a glaucoma screening program was applied in a population-based sample randomly selected from a population of 23,527. Screening targeted the population at risk of glaucoma. Examinations included optic disk tomography (Heidelberg retina tomograph [HRT]), nerve fiber analysis, and tonometry. Subjects who met at least 2 of 3 endpoints (HRT outside normal limits, nerve fiber index ≥30, or tonometry ≥21 mmHg) were referred for glaucoma consultation. The currently established (“conventional”) detection method was evaluated by recording data from primary care and ophthalmic consultations in the same population. The direct costs of screening and conventional detection were calculated by adding the unit costs generated during the diagnostic process. The detection rate of new glaucoma cases was assessed.
Results: The screening program evaluated 414 subjects; 32 cases were referred for glaucoma consultation, 7 had glaucoma, and 10 had probable glaucoma. The current detection method assessed 677 glaucoma suspects in the population, of whom 29 were diagnosed with glaucoma or probable glaucoma. Glaucoma screening and the conventional detection method had detection rates of 4.1% and 3.1%, respectively, and the cost per case detected was 1,410 and 1,435€, respectively. The cost of screening 1 million inhabitants would be 5.1 million euros and would allow the detection of 4,715 new cases.
Conclusion: The proposed screening method directed at population at risk allows a detection rate of 4.1% and a cost of 1,410 per case detected.
Tipo de documento
Artículo
Versión del documento
Versión aceptada
Lengua
English
Materias (CDU)
61 - Medicina
617 - Cirugía. Ortopedia. Oftalmología
Palabras clave
Glaucoma
Oftalmologia
Oftalmología
Ophthalmology
Ulls--Malalties
Ojos--Enfermedades
Eye--Diseases
Imaging devices
Detection rate
Páginas
10
Publicado por
Dove Medical Press
Colección
11;
Publicado en
Clinical Ophthalmology
Citación
Antón López, Alfonso; Fallon, Mónica; Cots, Francesc; Sebastian, María A.; Morilla Grasa, Antonio; Mojal, Sergi; Castells, Xavier. «Cost and detection rate of glaucoma screening with imaging devices in a primary care center». Clinical Ophthalmology, 2017, vol. 11, p. 337-346. Disponible en: <https://www.dovepress.com/cost-and-detection-rate-of-glaucoma-screening-with-imaging-devices-in--peer-reviewed-article-OPTH>. Fecha de acceso: 26 sept. 2019. DOI: https://doi.org/10.2147/OPTH.S120398
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