COST ANALYSIS of SCLERAL BUCKLE, PARS PLANA VITRECTOMY, and PARS PLANA VITRECTOMY with SCLERAL BUCKLE for RETINAL DETACHMENT REPAIR

Peter J. Belin, Nicholas A. Yannuzzi, Sushant Wagley, William E. Smiddy, Edwin H. Ryan

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose: To compare the cost and utility of scleral buckle (SB), pars plana vitrectomy (PPV), and PPV with SB (PPV/SB) for moderately complex rhegmatogenous retinal detachment repair. Methods: Cost-utility analysis using data from the Primary Retinal Detachment Outcomes Study. The model estimated costs, lifetime utility, and lifetime cost per quality-adjusted life year for treatment of moderately complex rhegmatogenous retinal detachment with SB, PPV, or PPV/SB. Data from the Centers for Medicare and Medicaid Services were used to calculate costs in hospital and ambulatory surgery center settings. Results: Total costs (2020 US dollars) for repair of a moderately complex rhegmatogenous retinal detachment in hospital (ambulatory surgery center) settings were $5,975 ($3,774) for the SB group, $8,125 ($5,082) for the PPV group, and $7,551 ($4,713) for the PPV/SB group. The estimated lifetime quality-adjusted life years gained were 5.4, 4.7, and 4.7 in the SB, PPV, and PPV/SB groups, respectively. The cost per quality-adjusted life year for hospital and ambulatory surgery center settings was $1,106 a ($699) for the SB group, $1729 ($1,081) for the PPV group, and $1,607 ($1,003) for the PPV/SB group. Conclusion: Scleral buckle, PPV, and PPV/SB yielded very favorable cost-utility results for the repair of moderately complex rhegmatogenous retinal detachment, with slightly better results for SB, compared with current willingness to pay standards.

Original languageEnglish (US)
Pages (from-to)33-37
Number of pages5
JournalRetina
Volume42
Issue number1
DOIs
StatePublished - Jan 1 2022

Keywords

  • Cost-utility analysis
  • QALY
  • Rhegmatogenous retinal detachment
  • Scleral buckle
  • Vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

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