Incremental Healthcare Service Utilization for Open-angle Glaucoma

Chung, Shiu-Dong; Ho, Jau Der; Lin, Herng Ching; Tsai, Ming Chieh

doi:10.1097/ijg.0000000000000222

Cited by 5 publications

(11 citation statements)

References 26 publications

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“…The total cost of medical treatment would have been higher except for a decrease in the unit cost of the most commonly prescribed glaucoma medication, latanoprost, due to the expiry of its patent in January 2012. 12 The actual costs of managing glaucoma in the National Health System, however, are likely to be much higher with the increased number of referrals, monitoring for an increased number of patients, and surgery for selected patients, 31 32 which have not been calculated in this study. It is likely that variations in practice exist, which may impede the efficient allocation of resources for glaucoma treatment.…”

Section: Discussionmentioning

confidence: 91%

Geographical variation in glaucoma prescribing trends in England 2008–2012: an observational ecological study

2016

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ObjectivesTo explore (1) the national trend in population-adjusted prescription rates for glaucoma and ocular hypertension (OHT) in England and (2) any geographical variation in glaucoma/OHT prescribing trends and its association with established risk factors for primary open-angle glaucoma (POAG) at the population level.DesignObservational ecological study.SettingPrimary care in England 2008–2012.ParticipantsAll patients who received 1 or more of the 37 778 660 glaucoma/OHT prescription items between 2008 and 2012.Primary and secondary outcome measure methodsGlaucoma/OHT prescription statistics for England and its constituent primary care trusts (PCTs) between 2008 and 2012 were divided by annual population estimates to give prescription rates per 100 000 population aged ≥40 years. To examine regional differences, prescription rates and the change in prescription rates between 2008 and 2012 for PCTs were separately entered into multivariable linear regression models with the population proportion aged ≥60 years; the proportion of males; the proportion of West African Diaspora (WAD) ethnicity; PCT funding per capita; Index of Multiple Deprivation 2010 score and its domains.ResultsBetween 2008 and 2012, glaucoma/OHT prescriptions increased from 28 029 to 31 309 items per 100 000 population aged ≥40 years. Between PCTs, nearly a quarter of the variation in prescription rates in 2008 and 2012 could be attributed to age, WAD ethnicity and male gender. The change in prescription rates between 2008 and 2012 was only modestly correlated with age (p=0.003, β=0.234), and income deprivation (p=0.035, β=−0.168).ConclusionsIncreased population-adjusted glaucoma/OHT prescription rates in the study period were likely due to increased detection of POAG and OHT cases at risk of POAG. Between PCTs, regional variation in overall prescription rates was partly attributable to demographic risk factors for POAG, although the change in prescription rates was only modestly correlated with the same risk factors, suggesting potential variation in practice.

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Section: Discussionmentioning

confidence: 91%

Geographical variation in glaucoma prescribing trends in England 2008–2012: an observational ecological study

2016

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“…The National Longitudinal Health Insurance Database 2000 (LHID2000) contains data on a group of individuals selected randomly from among 1 million participants in the NHIRD, which represents about 4.5% of the Taiwanese population. 12 We utilized the LHID2000 database to gather information on patient demographics, including identification number, sex, age, and diagnostic data. Diseases were defined using to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM).…”

Section: Database and Study Samplementioning

confidence: 99%

The Prevalence and the Incidence of Diagnosed Open-Angle Glaucoma and Diagnosed Angle-Closure Glaucoma: Changes From 2001 to 2010

Chiu¹,

Chu

Muo

et al. 2016

Journal of Glaucoma

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“…Glaucoma patients created two-fold higher costs utilizing healthcare facilities than nonglaucoma patients in Taiwan. Outpatient visits and inpatient days were included in these costs [18].…”

Section: Resultsmentioning

confidence: 99%

“…A group in Taiwan compared healthcare utilization by glaucoma patients and nonglaucoma patients in Taiwan during a 1 year follow-up and compared total healthcare costs of both groups [18]. The study found that two-fold higher total costs were generated by greater healthcare utilization by glaucoma patients.…”

Section: Healthcare Utilization By Glaucoma Patientsmentioning

confidence: 99%

Increasing healthcare costs

Töteberg‐Harms

Berlin

Meier-Gibbons

2017

Current Opinion in Ophthalmology

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It is challenging to find reliable studies concerning this subject matter. As patients are under the umbrellas of variously organized healthcare systems which span different cultures, the costs between countries are difficult to compare. However, one common aspect to lower costs in glaucoma care is to improve patient adherence. Theoretical models with actual patient studies could enable cost reductions by comparing multiple diagnostic and therapeutic scenarios. VIDEO ABSTRACT: http://links.lww.com/COOP/A22.

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Incremental Healthcare Service Utilization for Open-angle Glaucoma

Abstract: We concluded that subjects with OAG had significantly higher utilization of all healthcare services than comparison subjects.

Cited by 5 publications

References 26 publications

Geographical variation in glaucoma prescribing trends in England 2008–2012: an observational ecological study

Geographical variation in glaucoma prescribing trends in England 2008–2012: an observational ecological study

The Prevalence and the Incidence of Diagnosed Open-Angle Glaucoma and Diagnosed Angle-Closure Glaucoma: Changes From 2001 to 2010

Increasing healthcare costs

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