Show simple item record

dc.contributor.authorAntón López, Alfonso
dc.contributor.authorFallon, Mónica
dc.contributor.authorCots Reguant, Francesc
dc.contributor.authorSebastian, María A.
dc.contributor.authorMorilla Grasa, Antonio
dc.contributor.authorMojal, Sergi
dc.contributor.authorCastells, Xavier
dc.date.accessioned2019-09-26T08:35:07Z
dc.date.available2019-09-26T08:35:07Z
dc.date.issued2017-02-16
dc.identifier.citationAntón 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.S120398ca
dc.identifier.issn1177-5483ca
dc.identifier.urihttp://hdl.handle.net/20.500.12328/1242
dc.description.abstractPurpose: 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.ca
dc.format.extent10ca
dc.language.isoengca
dc.publisherDove Medical Pressca
dc.relation.ispartofClinical Ophthalmologyca
dc.relation.ispartofseries11;
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/ca
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject.otherGlaucomaca
dc.subject.otherOftalmologiaca
dc.subject.otherOftalmologíaca
dc.subject.otherOphthalmologyca
dc.subject.otherUlls--Malaltiesca
dc.subject.otherOjos--Enfermedadesca
dc.subject.otherEye--Diseasesca
dc.subject.otherImaging devicesca
dc.subject.otherDetection rateca
dc.titleCost and detection rate of glaucoma screening with imaging devices in a primary care centerca
dc.typeinfo:eu-repo/semantics/articleca
dc.description.versioninfo:eu-repo/semantics/acceptedVersionca
dc.embargo.termscapca
dc.subject.udc61ca
dc.subject.udc617ca
dc.identifier.doihttps://doi.org/10.2147/OPTH.S120398ca


Files in this item

 

This item appears in the following Collection(s)

Show simple item record

http://creativecommons.org/licenses/by-nc-nd/4.0/
Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc-nd/4.0/