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Abstract #6287 Published in IGR 2-2
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
Oostenbrink JB; Rutten-van Moelken MP; Opdenoordt TSDocumenta Ophthalmologica 1999; 98: 285-299
To determine the health care resource use and costs of patients with glaucoma or ocular hypertension in the Netherlands during the first two years after primary diagnosis, the authors 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 two-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 to total costs. The variation in costs between patients largely depended on whether or not a patient had undergone surgery.
Dr. J.B. Oostenbrink, Institute for Medical Technology Assessment, Erasmus University Rotterdam, The Netherlands. oostenbrink@bmg.eur.nl
Classification:
14 Costing studies; pharmacoeconomics
