title: [Direct cost of cataract surgery in public hospital].
abstract: BACKGROUND
  With more than 500,000 operations per year, cataract surgery is the most performed act nowadays in France. Several techniques can be used but the phacoemulsification after micro-incision is the most common and the purpose is to put an intraocular lens into the eye.
  
  
  OBJECTIVE
  To approach the direct cost of the cataract surgery and to compare it to the amounts of reimbursements, and to get some epidemiological and statistical data about this surgery.
  
  
  METHODS
  This study is prospective; many operations were followed up in the operating room and every following data were recorded: age of the patient, type of anaesthesia, type of intraocular lens, adverse events, name of surgeon, duration of the intervention, single use material and medications used during operation and their quantity for each operation.
  
  
  RESULTS
  One hundred and twenty-five cataract surgeries were followed. Patients mean age was 74,1 years and the anaesthesia was topical in 87,2% of cases; only two patients had general anaesthesia. The mean duration was 42 minutes. The mean direct cost was 366 € but reached 630 € in case of capsular tear. The cost greatly varied depending on the surgeon. Two references of lens (foldable monofocal, that cost between 100 and 150 €) represented 80% of the implanted lenses.
  
  
  CONCLUSIONS
  This type of study may lead to a standardisation of surgical techniques and evaluate the proportion of supply and medications in that type of surgery.
authors.affiliation: Service de pharmacie, centre hospitalier de Valence, 179 boulevard du Maréchal-Juin, Valence cedex 9, France. joss.malot@gmail.com
authors.forename: J
authors.initials: J
authors.lastname: Malot
authors.forename: C
authors.initials: C
authors.lastname: Combe
authors.forename: P
authors.initials: P
authors.lastname: Savary
authors.forename: A
authors.initials: A
authors.lastname: Moss
authors.forename: P
authors.initials: P
authors.lastname: Ligeon-Ligeonnet
authors.forename: H
authors.initials: H
authors.lastname: Hida
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000758:Anesthesia; D002386:Cataract / Q000191:economics* / Q000453:epidemiology*; D002387:Cataract Extraction / Q000191:economics* / Q000592:standards; D003365:Costs and Cost Analysis; D005260:Female; D005602:France / Q000453:epidemiology; D006779:Hospitals, Public / Q000191:economics*; D006801:Humans; D007349:Insurance, Health, Reimbursement; D007431:Intraoperative Complications / Q000191:economics; D007903:Lens Capsule, Crystalline / Q000293:injuries; D019654:Lens Implantation, Intraocular / Q000191:economics; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies