Economic Evaluation of Blind Rehabilitation for Veterans With Macular Diseases in the Department of Veterans Affairs

Stroupe, Kevin T.; Stelmack, Joan A.; Tang, Xiaoyin; Reda, Domenic J.; Moran, D’Anna; Rinne, Stephen; Mancil, Rickilyn M.; Wei, Yongliang; Cummings, Roger W.; Mancil, Gary L.; Ellis, Nancy; Massof, Robert W.

doi:10.1080/09286580802027836

Cited by 19 publications

(20 citation statements)

References 14 publications

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“…Fifty two studies are included in Figure 1 as several manuscripts presented data from the same studies (see Table 2 of included studies). 15,41,43,[48][49][50]75,145,149 The majority of included studies used a "before and after" design but lacked a "control" group. This design made it difficult to determine the effect of the intervention in many cases, as it was not possible to determine the underlying deterioration in function associated with a worsening of the disease condition over the time-course of the study.…”

Section: Quality Of Included Studiesmentioning

confidence: 99%

“…Only two studies met the criteria for inclusion in the review: The single centre RCT set in Sweden, reported by Eklund et al and a cost consequences evaluation of an outpatient (OP) rehabilitation programme compared with residential rehabilitation for legally blind American Veterans reported by Stroupe et al 50,145 The single centre RCT set in Sweden, reported by Eklund et al, compared the cost-effectiveness of a group "Health Education Programme" delivered to groups of 4-6 people with AMD, to 'usual care' using an individually designed programme. 50 Incremental cost effectiveness ratios were not calculated.…”

Section: K the Cost-effectiveness Of Low Vision Service Provisionmentioning

confidence: 99%

“…145 The program was designed to improve functional ability as measured by Veterans' Affairs LV VFQ-48, and changes in performing everyday tasks. Follow up was at 3-4 months.…”

Section: Stroupe Et Al Evaluated the Short Term Cost Consequences Of mentioning

confidence: 99%

“…The costs for the inpatient group were higher, per inpatient There were methodological problems with both studies. 50,145 Full details of unit costs were not given in either paper and it was unclear whether all relevant costs had been included. The RCT reported by Ekland et al 50 did not detail randomisation methods and had a high drop-out rate.…”

Section: Stroupe Et Al Evaluated the Short Term Cost Consequences Of mentioning

confidence: 99%

“…The study reported by Stroupe et al compared treatment groups from 2 different trials; thus, it is possible that there were differences between the groups impacting on the outcomes. 145 …”

Section: Stroupe Et Al Evaluated the Short Term Cost Consequences Of mentioning

confidence: 99%

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How Effective is Low Vision Service Provision? A Systematic Review

Binns

Bunce

Dickinson

et al. 2012

Survey of Ophthalmology

202

209

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link Abstract.Visual impairment is a large and growing socioeconomic problem. Good evidence on rehabilitation outcomes is required to guide service development and improve the lives of people with sight loss.Of the 478 potentially relevant articles identified, only 58 studies met our liberal inclusion criteria, and of these only 7 were randomized controlled trials. Although the literature is sufficient to confirm that rehabilitation services result in improved clinical and functional ability outcomes, the effects on mood, vision-related quality of life (QoL) and health-related QoL are less clear. There are some good data on the performance of particular types of intervention, but almost no useful data about outcomes in children, those of working age and other minority groups. There were no reports on cost effectiveness. Overall, the number of well designed and adequately reported studies is pitifully small; visual rehabilitation research needs higher quality research. We highlight study design and reporting considerations and suggest a future research agenda.

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Section: Quality Of Included Studiesmentioning

confidence: 99%

Section: K the Cost-effectiveness Of Low Vision Service Provisionmentioning

confidence: 99%

“…145 The program was designed to improve functional ability as measured by Veterans' Affairs LV VFQ-48, and changes in performing everyday tasks. Follow up was at 3-4 months.…”

Section: Stroupe Et Al Evaluated the Short Term Cost Consequences Of mentioning

confidence: 99%

Section: Stroupe Et Al Evaluated the Short Term Cost Consequences Of mentioning

confidence: 99%

“…The study reported by Stroupe et al compared treatment groups from 2 different trials; thus, it is possible that there were differences between the groups impacting on the outcomes. 145 …”

Section: Stroupe Et Al Evaluated the Short Term Cost Consequences Of mentioning

confidence: 99%

See 3 more Smart Citations

How Effective is Low Vision Service Provision? A Systematic Review

Binns

Bunce

Dickinson

et al. 2012

Survey of Ophthalmology

202

209

View full text Add to dashboard Cite

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Medicare Coverage for Vision Assistive Equipment

et al. 2010

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ision loss that cannot be corrected medically, surgically, or by refractive means is considered low vision. Low vision often results in impairment of daily activities, loss of independence, increased risk of fractures, excess health care expense, and reduced physical functioning, quality of life, and life expectancy. Vision rehabilitation can enable more independent functioning for individuals with low vision. The Centers for Medicare and Medicaid Services recognizes the importance of rehabilitation for achieving medically necessary goals but has denied Medicare coverage for vision assistive equipment that is necessary to complete these goals, although they provide coverage for assistive equipment to provide compensation for other disabilities. We believe that this is discriminatory and does not comport with congressional intent. The Centers for Medicare and Medicaid Services should provide coverage for vision assistive equipment, allowing beneficiaries with vision loss to benefit fully from Medicare-covered rehabilitation to achieve the costeffective results of these services.

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