Cost analysis of childhood glaucoma surgeries using the US Medicaire allowable costs  

作　　者：Abdelrahman M.Elhusseiny Mohamed M.Khodeiry Nicolas A.Yannuzzi Ta C.Chang Richard K.Lee William E.Smiddy 

机构地区：[1]Department of Ophthalmology,Bascom Palmer Eye Institute,University of Miami Miller School of Medicine,Miami,Florida 33136,USA [2]Department of Ophthalmology,Harvey and Bernice Jones Eye Institute,University of Arkansas for Medical Sciences,Little Rock,Arkansas 72205,USA

出　　处：《International Journal of Ophthalmology(English edition)》2023年第5期700-704,共5页国际眼科杂志（英文版）

摘　　要：AIM: To analyze and calculate the relative cost of various childhood glaucoma surgical interventions per mm Hg intraocular pressure(IOP) reduction($/mm Hg).METHODS: Representative index studies were reviewed to quantitate the reduction of mean IOP and glaucoma medications for each surgical intervention in childhood glaucoma. A US perspective was adopted, using Medicare allowable costs to calculate cost/mm Hg IOP reduction($/mm Hg) at 1y postoperatively.RESULTS: At 1y postoperatively, the cost/mm Hg IOP reduction was $226/mm Hg for microcatheter-assisted circumferential trabeculotomy, $284/mm Hg for cyclophotocoagulation, $288/mm Hg for conventional ab-externo trabeculotomy, $338/mm Hg for Ahmed glaucoma valve, $350/mm Hg for Baerveldt glaucoma implant, $351/mm Hg for goniotomy, and $400/mm Hg for trabeculectomy.CONCLUSION: Microcatheter-assisted circumferential trabeculotomy is the most cost-efficient surgical method to lower IOP in childhood glaucoma, while trabeculectomy is the least cost-efficient surgical method.

关 键 词：GLAUCOMA cost analysis TRABECULOTOMY TRABECULECTOMY intraocular pressure childhood glaucoma 

分 类 号：R779.6[医药卫生—眼科] R197.3[医药卫生—临床医学]