Cost effectiveness analysis using disability-adjusted life years for cataract surgery

Rochmah, Thinni Nurul and Wulandari, Anggun and Dahlui, Maznah and Ernawaty, Ernawaty and Wulandari, Ratna Dwi (2020) Cost effectiveness analysis using disability-adjusted life years for cataract surgery. International Journal Of Environmental Research And Public Health, 17 (16). ISSN 16617827, DOI https://doi.org/10.3390/ijerph17166010.

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Abstract

Cataracts are the second most prioritized eye disease in the world. Cataracts are an expensive treatment because surgery is the only method that can treat the disease. This study aims to analyze the cost effectiveness of each operating procedure. Specifically, phacoemulsification and Small Incision Cataract Surgery (SICS) with Disability-Adjusted Life Years (DALYs) as the effectiveness indicator is used. This study is an observational analytic study with a prospective framework. The sample size is 130 patients who have undergone phacoemulsification and 25 patients who have undergone SICS. The DALY for phacoemulsification at Day-7 (D-7) is 0.3204, and at Day-21 (D-21), it is 0.3204, while the DALY for SICS at D-7 is 0.3060, and at D-21, it is 0.3158. The incremental cost effectiveness ratio (ICER) for cataract surgery at D-7 is USD $1872.49, and at D-21, it is USD $5861.71, whereas the Indonesian Gross Domestic Product (GDP) is USD $4174.90. In conclusion, the phacoemulsification technique is more cost effective than the SICS technique. The ICER value is very cost effective at D-7 post-surgery compared to at D-21 post-surgery because the ICER is less than 1 GDP per capita per DALY.

Item Type: Article
Funders: RSMU Hospital
Uncontrolled Keywords: Cataract surgery; Cost effectiveness analysis; Disability adjusted life years
Subjects: R Medicine
R Medicine > RE Ophthalmology > Eye surgery
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 28 Oct 2024 13:26
Last Modified: 28 Oct 2024 13:26
URI: http://eprints.um.edu.my/id/eprint/36526

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