Lundström Mats, Albrecht Susanne, Roos Pontus
EyeNet Sweden, Blekinge Hospital, Karlskrona, Sweden.
Acta Ophthalmol. 2009 Feb;87(1):33-8. doi: 10.1111/j.1755-3768.2008.01343.x. Epub 2008 Sep 11.
To compare resource utilization of two different strategies for bilateral cataract surgery: immediate sequential cataract surgery (ISCS) versus delayed sequential cataract surgery (DSCS). The purpose was also to analyse the value for the patient of undergoing ISCS versus DSCS.
Differences in routines and resource utilization between ISCS (n = 17) and DSCS (n = 80) were studied in a cohort of cataract surgery patients at our clinic in Karlskrona, Sweden. Costs were extracted from an earlier publication by the same clinic. The value for the patient was studied using the capability index, based on published data on the benefit to the patient of ISCS or DSCS using the Catquest questionnaire.
Operating both eyes of a patient was 1.14 times more expensive with DSCS than with ISCS including all surgical costs. The value to the patient of undergoing ISCS depended on the time between first- and second-eye surgery in DSCS and the remaining lifetime after both-eye surgery. A long waiting time for second-eye surgery and a short remaining lifetime decreased the patient value of DSCS compared to ISCS.
DSCS is 14% more expensive than ISCS. The value for the patient of ISCS compared to DSCS depends on how long the period will be between first- and second-eye surgery in DSCS and also on the patient's survival time after surgery.
比较两种不同的双侧白内障手术策略的资源利用情况：即刻序贯白内障手术（ISCS）与延迟序贯白内障手术（DSCS）。目的还包括分析接受ISCS与DSCS对患者的价值。
在瑞典卡尔斯克鲁纳我们诊所的一组白内障手术患者中，研究了ISCS（n = 17）和DSCS（n = 80）在手术流程和资源利用方面的差异。成本数据取自该诊所早期发表的一篇文章。基于使用Catquest问卷发表的关于ISCS或DSCS对患者益处的数据，使用能力指数研究对患者的价值。
包括所有手术成本在内，DSCS对患者双眼进行手术的费用比ISCS高1.14倍。接受ISCS对患者的价值取决于DSCS中第一眼和第二眼手术之间的时间间隔以及双眼手术后的剩余寿命。与ISCS相比，第二眼手术的长时间等待和较短的剩余寿命降低了DSCS对患者的价值。
DSCS比ISCS贵14%。与DSCS相比，ISCS对患者的价值取决于DSCS中第一眼和第二眼手术之间的时间长度以及患者术后的生存时间。
