The cost-effectiveness of community versus hospital eye service follow-up for patients with quiescent treated age-related macular degeneration alongside the ECHoES randomised trialReportar como inadecuado




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Reference: Violato, M, Dakin, HA, Chakravarthy, U et al., (2016). The cost-effectiveness of community versus hospital eye service follow-up for patients with quiescent treated age-related macular degeneration alongside the ECHoES randomised trial. BMJ Open.Citable link to this page:

 

The cost-effectiveness of community versus hospital eye service follow-up for patients with quiescent treated age-related macular degeneration alongside the ECHoES randomised trial

Abstract: ObjectivesTo assess the cost-effectiveness of optometrist-led follow-up monitoring reviews for patients with quiescent neovascular age-related macular degeneration (nAMD) in community settings (including high street opticians) compared with ophthalmologist-led reviews in hospitals.DesignA model based cost-effectiveness analysis with a 4-week time horizon, based on a ‘virtual’ non-inferiority randomised trial designed to emulate a parallel group design.SettingA virtual internet-based clinical assessment, conducted at community optometry practices, and hospital ophthalmology clinics.ParticipantsOphthalmologists with experience in the age-related macular degeneration service; fully qualified optometrists not participating in nAMD shared care schemes.InterventionsThe participating optometrists and ophthalmologists classified lesions from vignettes and were asked to judge whether any retreatment was required. Vignettes comprised clinical information, colour fundus photographs and optical coherence tomography images. Participants’ classifications were validated against experts’ classifications (reference standard). Resource use and cost information were attributed to these retreatment decisions.Main Outcome MeasuresCorrect classification of whether further treatment is needed, compared with a reference standard.ResultsThe mean cost per assessment, including the subsequent care pathway, was £411 for optometrists and £397 for ophthalmologists: a cost difference of £13 (95% CI: -£18, £45). Optometrists were non-inferior to ophthalmologists with respect to the overall percentage of lesions correctly assessed (difference: -1.0%; 95% CI: -4.5%, 2.5%).ConclusionsIn the base case analysis, the slightly larger number of incorrect retreatment decisions by optometrists led to marginally and non-significantly higher costs. Sensitivity analyses that reflected different practices across eye hospitals indicate that shared care pathways between optometrists and ophthalmologists can be identified which may reduce demands on scant hospital resources, although in light of the uncertainty around differences in outcome and cost it remains unclear whether the differences between the two care pathways are significant in economic terms.

Publication status:PublishedPeer Review status:Peer reviewedVersion:Publisher VersionDate of acceptance:2016-09-30 Funder: National Institute for Health Research   Notes:© The Authors. Published by BMJ Publishing Group. This is an Open Access article published under a Creative Commons CC-BY-4.0 license, which permits others to distribute, remix, adapt and build upon this work, for commerical use, provided the original work is properly cited. The published version is available online at: 10.1136/bmjopen-2016- 011121

Bibliographic Details

Publisher: BMJ Publishing Group

Publisher Website: http://www.bmj.com/

Journal: BMJ Opensee more from them

Publication Website: http://bmjopen.bmj.com/

Issue Date: 2016-10-24Identifiers

Doi: https://doi.org/10.1136/bmjopen-2016-011121

Issn: 2044-6055

Uuid: uuid:f3493e56-1c08-4eb6-b977-734b3eae0e0a

Urn: uri:f3493e56-1c08-4eb6-b977-734b3eae0e0a

Pubs-id: pubs:648372 Item Description

Type: journal-article;

Version: Publisher VersionKeywords: Macular degeneration optometrists ophthalmologists cost-effectiveness

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Autor: Violato, M - Oxford, MSD, Public Health, Nuffield Department of Population Health, Population Health - - - Dakin, HA - Oxford, MS

Fuente: https://ora.ox.ac.uk/objects/uuid:f3493e56-1c08-4eb6-b977-734b3eae0e0a



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