Outcomes and costs of outpatient and inpatient cataract surgery

Castells, Xavier; Alonso, Jordi; Castilla, M.; Ribó, Cristina; Cots, Francesc; Antó, Josep M

doi:10.1016/s0895-4356(00)00271-7

Cited by 45 publications

(34 citation statements)

References 18 publications

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“…Financial results of day surgery versus inpatient surgery (taking into account the application of the same surgical procedures) are relatively well quantifi ed and are on average 25% -68% lower (Castoro et al 2007). …”

Section: Financial Results Of Day Surgerymentioning

confidence: 99%

“…Nevertheless, there are very few clinical studies comparing the results of traditional in-hospital surgery and day surgery procedures (Castoro et al, 2007). Those that were carried out failed to show any signifi cant differences in the results (e.g.…”

Section: Research Studies Concerning Daysurgery Performance In the Worldmentioning

confidence: 99%

“…Those that were carried out failed to show any signifi cant differences in the results (e.g. Castells et al, 2001;Corvera et al, 1996;Fedorowicz, 2005;Hollington et al, 1999). As a result, in conclusion, only safety of performing day surgery may be highlighted, provided all recommended instructions and organizational principles are met and respected (Jarrett & Roberts, 2006;Smith et al, 2006).…”

Section: Research Studies Concerning Daysurgery Performance In the Worldmentioning

confidence: 99%

See 2 more Smart Citations

System of day surgery in Slovakia: analysis of pediatric day surgery discrepancies in the regions and their importance in strategy of its development

Gavurová¹,

Šoltés²

2016

E+M

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Section: Financial Results Of Day Surgerymentioning

confidence: 99%

Section: Research Studies Concerning Daysurgery Performance In the Worldmentioning

confidence: 99%

Section: Research Studies Concerning Daysurgery Performance In the Worldmentioning

confidence: 99%

See 1 more Smart Citation

System of day surgery in Slovakia: analysis of pediatric day surgery discrepancies in the regions and their importance in strategy of its development

Gavurová¹,

Šoltés²

2016

E+M

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“…In a Spanish study conducted in three public hospitals in Barcelona, direct costs relating to surgery, hospital stay, and follow-up for four months were estimated. The total cost of ambulatory cataract surgery was h1001 (Castells et al, 2001). The second study investigated the direct costs of ambulatory cataract surgery in three ophthalmologic hospital departments in France.…”

Section: Discussionmentioning

confidence: 99%

“…Outpatient cataract surgery has rapidly gained worldwide acceptance based on a substantial amount of empirical evidence demonstrating equivalent clinical outcomes between inpatient and outpatient approaches (Castells et al, 2001;Fedorowicz et al, 2005;Fedorowicz et al, 2006). Continuous improvements in surgical techniques and materials, such as the use of more sophisticated equipment and intraocular lenses, have resulted in greatly improved outcomes.…”

Section: Introductionmentioning

confidence: 99%

Cost and reimbursement of cataract surgery in Europe: a cross-country comparison

Fattore

Torbica

2008

Health Econ.

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SUMMARYThe number of cataract extractions has increased substantially over time. At present, cataract surgery is estimated to be the most common single procedure performed in the developed world. The present study compares the costs of a cataract intervention across nine European countries. To enhance comparability, data were collected using a common template based on a case vignette. Adequate data for analysis were collected from 41 providers and were used to evaluate variation across countries and providers. Ordinary least squares and a multilevel model were used to investigate cost variation. Mean total costs per cataract intervention varied considerably from country to country, ranging from h318 in Hungary to h1087 in Italy. Variations of a similar magnitude were detected for personnel costs and overheads. However, variations in the cost of the lens were more modest. Overall, our results confirm expectations about the causes of cost variations across EU member states, indicating that these variations may be attributable to the quantity of resources used in performing the operation, the price of resources, and the type of setting in which the operation is performed. The study highlights how accounting practices and available cost data differ across Europe. It also shows the feasibility of collecting data on the basis of vignettes using common cost templates. Studies following this approach will gain importance if cross-country comparisons are to be used to promote European benchmarking exercises.

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Use of Global Visual Acuity Data in a Time Trade-off Approach to Calculate the Cost Utility of Cataract Surgery

Lansingh

Carter²

2009

Arch Ophthalmol

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To determine the cost utility of cataract surgery worldwide using visual acuity (VA) outcomes and utility values determined by the time trade-off (TTO) method. Data Sources: Some cost data were taken from a previous search conducted for 1995 to 2006 and we searched MEDLINE and Scopus and Google for more recent data (2006 and 2007). Study Selection: Articles were identified from the literature using "cataract surgery" in combination with the terms outcome or visual acuity. Additional searches were conducted using individual countries as a term in combination with VA, outcome, or cost. Regression curves were constructed from utility values derived from a TTO study and VA data. Gains in quality-adjusted life-years (QALYs) were calculated based on life expectancy tables from the World Health Organization and discounts of 3% for both cost and benefit. Sensitivity analyses explored the effect of changes in discounting, life expectancy, preoperative VA, and cost. Data Extraction: If the data were usable, they were kept; otherwise they were discarded. Data Synthesis: Preoperative VA (logMAR) correlated with increasing gross national income per capita (Pearson correlation coefficient, −0.784; PϽ.001) and showed that in developing countries preoperative vision is much poorer compared with developed countries.

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Outcomes and costs of outpatient and inpatient cataract surgery

Cited by 45 publications

References 18 publications

System of day surgery in Slovakia: analysis of pediatric day surgery discrepancies in the regions and their importance in strategy of its development

System of day surgery in Slovakia: analysis of pediatric day surgery discrepancies in the regions and their importance in strategy of its development

Cost and reimbursement of cataract surgery in Europe: a cross-country comparison

Use of Global Visual Acuity Data in a Time Trade-off Approach to Calculate the Cost Utility of Cataract Surgery

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