Simultaneous bilateral cataract surgery: Economic analysis; Helsinki Simultaneous Bilateral Cataract Surgery Study Report 2

Leivo, Tiina; Sarikkola, Anna-Ulrika; Uusitalo, Risto; Hellstedt, T; Ess, Sirje-Linda; Kivelä, Tero

doi:10.1016/j.jcrs.2010.12.050

Cited by 93 publications

(76 citation statements)

References 14 publications

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“…Previous studies 1,[6][7][8][9][10][11][12] have demonstrated that ISCS is equally safe and efficacious compared with DSCS. This US-based cost-minimization analysis found that ISCS resulted in significant cost reductions compared with DSCS from the payer and patient perspectives.…”

Section: Discussionmentioning

confidence: 99%

“…An economic analysis in Finland found that surgical outcomes and patient satisfaction were similar in ISCS and DSCS groups and noted that "[b]ecause of equal effectiveness, the cost-effectiveness analysis turned into a cost analysis." 12(p1005) Few economic studies [12][13][14] have compared ISCS with DSCS, and no US-based analyses were found to date. The international data used hospital cost models, and this article tried to fill in the gaps by considering the payer, patient, and societal perspectives in the United States.…”

mentioning

confidence: 99%

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A Cost-Minimization Analysis Comparing Immediate Sequential Cataract Surgery and Delayed Sequential Cataract Surgery From the Payer, Patient, and Societal Perspectives in the United States

Neel¹

2014

JAMA Ophthalmol

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IMPORTANCEThe cost difference is evaluated between delayed sequential cataract surgery (DSCS) and immediate sequential cataract surgery (ISCS) in the United States for patients covered by Medicare.OBJECTIVE To perform a cost-minimization analysis comparing ISCS with DSCS in the United States from the payer, patient, and societal perspectives for the West Tennessee region and nationally. DESIGN, SETTING, AND PARTICIPANTSA cost-minimization analysis using cataract surgery volume and eligibility estimates, 2012 Medicare reimbursement schedules, and actual or estimated patient cost data for the West Tennessee region and nationally was performed comparing ISCS with DSCS. The West Tennessee model was set in a mixed small city and rural private practice setting and was extrapolated to a national model. Ambulatory surgery center and hospital outpatient department setting costs were evaluated. MAIN OUTCOMES AND MEASURESWest Tennessee and national Medicare payer costs per patient and the total national Medicare payer cost for DSCS and for ISCS, as well as West Tennessee and national Medicare patient (direct medical, travel, and lost wages) costs for DSCS and for ISCS.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

A Cost-Minimization Analysis Comparing Immediate Sequential Cataract Surgery and Delayed Sequential Cataract Surgery From the Payer, Patient, and Societal Perspectives in the United States

Neel¹

2014

JAMA Ophthalmol

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“…From this they calculated that the cost to prevent SBE would be €739 million, or about $1 billion per SBE case prevented. 11 It is important to note that this does not prevent bilateral infection at that rate, which remains a mathematical risk, it only prevents the two infections from candidates for ISBCS, voluntarily choose it over DSBCS, when allowed to choose freely. 12 This is almost exactly the same percentage I experience…”

Section: Money and Isbcsmentioning

confidence: 99%

Immediately Sequential Bilateral Cataract Surgery—A Global Perspective

Arshinoff¹

2015

European Ophthalmic Review

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By the mid 1990s, the evolution of progressively safe and predictable cataract surgery saw the resurgence of centuries of interest in performing immediately sequential bilateral cataract surgery (ISBCS). Within 10 years ISBCS had become generally accepted and the International Society of Bilateral Cataract Surgeons (iSBCS) was formed (September 2008) to “promote education, mutual cooperation, and progress in simultaneous bilateral cataract surgery.” The first initiative of the society members was to create a document “iSBCS General Principles for Excellence in ISBCS 2009,” which was intended to disseminate information about the best practices they had discovered to assist novice ISBCS surgeons. Next, ISBCS needed to be studied. Soon, data began to clarify some advantages of ISBCS, and risks were carefully evaluated. It soon became apparent that the main impediment to the performance of ISBCS, globally, was money, in that many jurisdictions financially penalized surgeons who performed ISBCS. Presently, we know that ISBCS carries many benefits to the patient, his/her family, the surgical facility, and society. The feared risks for simultaneous bilateral endophthalmitis, the requirement to adjust intraocular lens (IOL) selection for second eyes, based on first eye results, and others, have simply not been borne out under scrutiny. ISBCS is now rapidly increasing in its performance and acceptance globally, but the financial factors remain to be solved.

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“…This is not only more convenient for the patient, but also more cost-effective and eases the demand on support infrastructure for mobilityrestricted patients [5] [6]. With an aging population these considerations will be of increased importance, particularly in an era where health care is obliged to focus on cost efficiency.…”

Section: Introductionmentioning

confidence: 99%

More than 10 Years of Experience with Immediate Sequential Bilateral Cataract Extraction (ISBCE)—A Retrospective Study

Guber¹,

Bergin²,

Stürmer³

2014

OJOph

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Simultaneous bilateral cataract surgery: Economic analysis; Helsinki Simultaneous Bilateral Cataract Surgery Study Report 2

Abstract: No author has a financial or proprietary interest in any material or method mentioned.

Cited by 93 publications

References 14 publications

A Cost-Minimization Analysis Comparing Immediate Sequential Cataract Surgery and Delayed Sequential Cataract Surgery From the Payer, Patient, and Societal Perspectives in the United States

A Cost-Minimization Analysis Comparing Immediate Sequential Cataract Surgery and Delayed Sequential Cataract Surgery From the Payer, Patient, and Societal Perspectives in the United States

Immediately Sequential Bilateral Cataract Surgery—A Global Perspective

More than 10 Years of Experience with Immediate Sequential Bilateral Cataract Extraction (ISBCE)—A Retrospective Study

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