The treatment of newly diagnosed patients with glaucoma or with ocular hypertension in The Netherlands: an observational study of costs and initial treatment success based on retrospective chart review.
To determine the health care resource use and costs of patients with glaucoma or ocular hypertension in the Netherlands during the first 2 years after primary diagnosis, we performed a study based on retrospective chart review. Data of 200 patients and their health care resource use were collected in five hospitals. Unit-prices were calculated using micro costing in two hospitals. The mean 2-year costs per patient were estimated to be US$ 877. Outpatient visits to the ophthalmologist and medications were the cost-driving factors, and were responsible for 40 and 30% of total costs, respectively. Total costs were considered to be low, when compared to the estimated costs per patient in Sweden and the USA. In multiple least-squares regression only baseline IOP-value, the change in IOP-value between baseline and the next visit and the hospital of treatment were significantly related with total costs. The variation in costs between patients largely depended on whether or not a patient had undergone surgery.
Oostenbrink
J B
JB
Institute for Medical Technology Assessment, Erasmus University Rotterdam, The Netherlands. oostenbrink@bmg.eur.nl
Rutten-van Mölken
M P
MP
Opdenoordt
T S
TS
D000319:Adrenergic beta-Antagonists / Q000191:economics* / Q000627:therapeutic use; D000368:Aged; D003365:Costs and Cost Analysis; D004232:Diuretics / Q000191:economics* / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D005902:Glaucoma, Open-Angle / Q000175:diagnosis / Q000191:economics* / Q000628:therapy; D006295:Health Resources / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D008916:Miotics / Q000191:economics* / Q000627:therapeutic use; D009426:Netherlands; D009798:Ocular Hypertension / Q000175:diagnosis / Q000191:economics / Q000628:therapy; D012189:Retrospective Studies; D014130:Trabeculectomy / Q000191:economics*; D016896:Treatment Outcome
D000319:Adrenergic beta-Antagonists; D004232:Diuretics; D008916:Miotics