The Economic Burden of Childhood Glaucoma

Liú, Dan; Huang, Linda; Mukkamala, Lekha; Khouri, Albert S

doi:10.1097/ijg.0000000000000412

Cited by 21 publications

(17 citation statements)

References 19 publications

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“…Those with glaucoma-induced visual impairments generally suffer from decreased vision-related quality of life (including reduced vision-dependent mobility and increased incidence of falls) [6,7]. This places a substantial burden on medical care systems [8-10]. Glaucoma is often associated with a long and asymptomatic initial phase and usually progresses unnoticed until extensive and irreversible vision loss has occurred.…”

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confidence: 99%

Time trends and heterogeneity in the disease burden of glaucoma, 1990-2017: a global analysis

Zhang

Jin

Fan

et al. 2019

Journal of Global Health

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BackgroundTo evaluate the disease burden of glaucoma in terms of disability-adjusted life years (DALY) and assess the contribution of risk factors to DALY due to glaucoma.MethodsGlobal, regional, and country DALY number, rate, and age-standardized rates of glaucoma were obtained from the Global Burden of Disease Study 2017 database. The Human Development Index (HDI), Inequality-Adjusted HDI, Socio-Demographic Index (SDI), and other country-level data were derived from international open databases. Regression analysis was used to assess the correlations between the age-standardized DALY rate and the variables.ResultsThe global DALY due to glaucoma increased by 81% from 1990 to 2017 and decreased by 10% over the last two decades after adjusting for age and population size. Males had higher age-standardized DALY rates (P < 0.001). The age-standardized DALY rate was higher in countries with lower income or lower SDI (P < 0.001). The country-level age-standardized DALY rates in 2017 were negatively associated with HDI, SDI, country-level age-standardized prevalence rates of cataracts, cataract surgery rates (CRS), physician rates, and Inequality-Adjusted HDI. Stepwise multiple regressions showed that HDI, CRS, and Inequality-Adjusted HDI were significantly negatively associated with the country-level age-standardized DALY rate in 2017 after adjusting for other confounding factors (P < 0.001).ConclusionsHigher education, higher CRS, and diminishing the inequality in resource distribution may help reduce the disease burden of glaucoma. These findings can provide information for policymakers and could serve as an impetus for efforts toward alleviating the disease burden of glaucoma.

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confidence: 99%

Time trends and heterogeneity in the disease burden of glaucoma, 1990-2017: a global analysis

Zhang

Jin

Fan

et al. 2019

Journal of Global Health

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“…They report a significant reduction in their vision related quality of life (VR QoL) and health related (HR) QoL compared with normally sighted individuals, and decreased functional visual ability as well as a substantial economic burden. 94,95 Predictors of poor final visual outcome in the childhood glaucoma's include the presence of nystagmus, anterior segment dysgenesis or early failed angle surgery. Whereas failed angle surgery and presence of media opacity predicted poor final IOP control.…”

Section: Discussionmentioning

confidence: 99%

Approach to childhood glaucoma: A review

Karaconji

Zagora

Grigg

2022

Clinical Exper Ophthalmology

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Childhood glaucoma represents a heterogenous group of rare ocular conditions that may result in significant sight threatening complications related to elevated intraocular pressure (IOP). It can be classified as either primary or secondary and the latter may have systemic associations. This review will be based on the work of the childhood glaucoma research network (CGRN) and will focus on the diagnosis and management of the most common types of childhood glaucoma. These include primary congenital glaucoma (PCG) and juvenile open angle glaucoma (JOAG) as well as secondary causes of glaucoma associated with non-acquired ocular anomalies (Axenfeld-Rieger anomaly;Peters anomaly and Aniridia), glaucoma associated with systemic disease (Sturge Weber syndrome and Neurofibromatosis), those due to acquired conditions (Uveitic glaucoma, trauma and tumours) and importantly glaucoma following cataract surgery.

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“…Liu et al found the direct costs are significant in the first years of the disease. 16 Blanco et al enrolled patients from 30 hospital eye services in five countries. They found the lens extraction was more expensive than the standard care.…”

Section: Discussionmentioning

confidence: 99%

The Determinants of Healthcare Cost for Glaucoma Patients in Cicendo Eye Hospital, Bandung, Indonesia

Rizki

Sihaloho

2020

MKMI

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Glaucoma is the second foremost cause of impaired vision. People whosuffered from Glaucoma face the independent expenditure for thetreatment as blind people with Glaucoma could not be cured perfectly.This study intends to analyze the effect of age, types of patient care, typesof Glaucoma, and types of payment on the total cost of care of glaucomapatients at Cicendo Eye Hospital, Bandung, Indonesia. This study uses3,358 patient medical records of Cicendo Eye Hospital, Bandung,Indonesia, in 2018. The 3,358 samples were selected from the patient’smedical record based on patients’ categories indicated or convicted ofhaving Glaucoma. Robust Linear Regression is applied in this study tomeasure the additional cost for Glaucoma treatment. The results showedthat the total cost of patient care was positively and significantly affectedby hospitalization status (p=0.000), age (p=0.000), times of treatment(p=0.000), having primary glaucoma (p=0.000), having congenitalglaucoma (p=0.000), and presence of intraocular (p=0.000). Conversely,patient care’s total cost was negatively and significantly affected usinginsurance (p=0.082). This result would be a precautionary measure forthe medical institution to consider better financial planning, servicedelivery improvement, and the patient’s payment scheme effectiveness.

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The Economic Burden of Childhood Glaucoma

Abstract: Childhood glaucoma carries a substantial economic burden with the highest costs occurring in the first year after presentation. The greatest contributors to cost of illness are surgical interventions and examinations and anesthesia.

Cited by 21 publications

References 19 publications

Time trends and heterogeneity in the disease burden of glaucoma, 1990-2017: a global analysis

Time trends and heterogeneity in the disease burden of glaucoma, 1990-2017: a global analysis

Approach to childhood glaucoma: A review

The Determinants of Healthcare Cost for Glaucoma Patients in Cicendo Eye Hospital, Bandung, Indonesia

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