Economic Evaluation of Screening for Diabetic Retinopathy among Chinese Type 2 Diabetics : A Community-based Study in Kinmen, Taiwan
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概要
- 論文の詳細を見る
Background: This community-based study conducted in Kinmen aimed to discover whether screening for diabetic retinopathy (DR) among Chinese with type 2 diabetes was economically feasible and clinically effective.Methods: A total of 971 community-dwelling adults previously diagnosed with type 2 diabetes in 1991-1993 underwent DR screening in 1999-2002 by a panel of ophthalmologists, who used on-site indirect ophthalmoscopy and 45-degree color fundus retinal photographs. Economic evaluation included estimates for cost effectiveness and the cost utility of screening for DR.Results: For each DR case, screening efficacy and utility decreased, while cost increased with the length of the screening interval. The cost per sight year gained in the annual screening, biennial screening, 3-year screening, 4-year screening, 5-year screening, and control groups were New Taiwan dollars (NT$) 20962, NT$ 24990, NT$ 30847, NT$ 37435, NT$ 44449, and NT$ 83411, respectively. The cost per quality-adjusted life year gained by the annual screening, biennial screening, 3-year screening, 4-year screening, 5-year screening, and control groups were NT$ 21924, NT$ 25319, NT$ 30098, NT$ 35106, NT$ 40037, and NT$ 61542, respectively. Threshold values indicate that the screening programs are highly sensitive to screening cost in the plausible range.Conclusion: Screening for DR is both medically and economically worthwhile. Annual screening for DR among Chinese with type 2 diabetes should be conducted. Prevention programs aimed at improving eye care for patients with type 2 diabetes result in both substantial federal budgetary savings and highly cost-effective health care.
- 日本疫学会の論文
- 2008-09-01
著者
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Liu Chi-ming
Cheng Hsin Rehabilitation Medical Center
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Chen Shih-jen
Department Of Ophthalmology Veterans General Hospital
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Chen Shih-jen
Department Of Ophthalmology Taipei Veterans General Hospital And National Yang-ming University
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Shih Hui-chuan
Department Of Nursing Kaohsiung Armed Forces General Hospital
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CHOU Pesus
Community Medicine Research Center and Institute of Public Health, National Yang-Ming University
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Chou Pesus
Community Medicine Research Center & Institute Of Public Health
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Chou Pesus
Community Medicine Research Center & Department And Institute Of Public Health National Yang-min
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Tung Tao-hsin
Cheng Hsin Rehabilitation Medical Center
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LIU Jorn-Hon
Cheng Hsin Rehabilitation Medical Center
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Chou Pesus
Community Medical Research Center and Institute of Public Health, National Yang-Ming University
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