巩膜扣带术与玻璃体切除术治疗孔源性视网膜脱离修复的成本比较。
Cost comparison of scleral buckle versus vitrectomy for rhegmatogenous retinal detachment repair.
机构信息
Department of Ophthalmology, University of California, San Francisco, San Francisco, California.
出版信息
Am J Ophthalmol. 2013 Oct;156(4):661-6. doi: 10.1016/j.ajo.2013.05.019. Epub 2013 Jul 20.
PURPOSE
To estimate and compare the costs of scleral buckle (SB) and pars plana vitrectomy (PPV) for treatment of rhegmatogenous retinal detachment (RRD).
DESIGN
Cost analysis based on published prospective data comparing SB and PPV for RRD repair.
METHODS
The costs of initial surgery, postoperative retina-affecting procedures, and eventual cataract extraction resulting from SB and PPV for RRD repair were estimated for both phakic and pseudophakic or aphakic patients and then were compared. A univariate sensitivity analysis also was performed to examine the sensitivity of our estimations.
RESULTS
When considering all costs, SB was 10.7% less expensive than PPV for RRD repair in phakic patients, whereas PPV was 12% less expensive than SB for RRD repair in pseudophakic or aphakic patients. These conclusions were robust in the sensitivity analysis.
CONCLUSIONS
SB seems to offer a modest cost savings over PPV for repair of RRD in phakic patients. However, in pseudophakic and aphakic patients, PPV seems to be less expensive than SB.
目的
评估并比较巩膜扣带术（SB）和经睫状体平坦部玻璃体切除术（PPV）治疗孔源性视网膜脱离（RRD）的成本。
设计
基于比较 SB 和 PPV 治疗 RRD 修复的前瞻性研究数据的成本分析。
方法
分别估算了 SB 和 PPV 治疗 RRD 修复的初始手术、术后影响视网膜的手术以及最终白内障摘除的成本，并对有晶状体眼和无晶状体眼或人工晶状体眼患者进行了比较。还进行了单变量敏感性分析，以检查我们的估算值的敏感性。
结果
考虑所有成本时，SB 治疗有晶状体眼 RRD 的费用比 PPV 低 10.7%，而对于无晶状体眼或人工晶状体眼 RRD，PPV 比 SB 低 12%。这些结论在敏感性分析中是稳健的。
结论
对于有晶状体眼 RRD 的修复，SB 似乎比 PPV 具有一定的成本优势。然而，对于无晶状体眼和人工晶状体眼患者，PPV 似乎比 SB 更经济。
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