Koki G, Epée E, Helles G, Bilong Y, Dohvoma A V, Biangoup P, Bimbaï S, Omgbwa Eballé A, Bella A L, Ebana Mvogo C
Faculté de médecine et des sciences biomédicales de Yaoundé (FMSB), route de Mele, 237, Yaoundé, Cameroun; Hôpital d'instruction, d'application et de référence des armées de Yaoundé (HIARAY), boulevard de la Réunification, 237, BP 12974 Yaoundé, Cameroun; Hôpital central de Yaoundé (HCY), rue Henri-Dunant, 237, Yaoundé, Cameroun.
Faculté de médecine et des sciences biomédicales de Yaoundé (FMSB), route de Mele, 237, Yaoundé, Cameroun.
J Fr Ophtalmol. 2018 Apr;41(4):357-362. doi: 10.1016/j.jfo.2017.08.011. Epub 2018 Feb 19.
To evaluate the total cost of treatment of diabetic retinopathy by argon laser for a patient when indicated.
Prospective cross-sectional and descriptive survey, carried out in the angiography and laser center of the Yaoundé Central Hospital from October 2014 to October 2015. All consecutive diabetic patients with retinopathy and suitable indication for argon laser treatment were included. The costs related to the initial and final fluorescein angiography, the appointment for follow-up, round-trip transportation costs from the patient's home and the cost of laser treatment were included.
Included were 43 (13 %) patients out of 330 with diabetic retinopathy. The mean age was 55.67±8.40years. There were 25 women (58.1 %) and 18 men (41.9 %) for a M/F ratio of 0.7. Unemployed patients were represented by 28 (65.1 %) versus 15 employed (34.9 %). Twenty-seven patients (62.8 %) were self-pay for all their expenses, 14 (32.6 %) were assisted by their families, and 2 (4.6 %) were insured. On average, the total expenditure was 86002±67197 f CFA per eye, corresponding to 131±102 euros with an exchange rate of 1 euro for 656 f CFA.
The cost of treatment of diabetic retinopathy by argon laser is high, mostly increased by the additional costs related to transportation in our area. The creation of satellite centers in the 10 regions of Cameroon would reduce these costs.
评估氩激光治疗糖尿病视网膜病变患者的总治疗成本（在有指征时）。
于2014年10月至2015年10月在雅温得中心医院血管造影与激光中心进行前瞻性横断面描述性调查。纳入所有连续性糖尿病视网膜病变患者且有氩激光治疗合适指征者。包括与初次和末次荧光素血管造影、随访预约、患者往返家庭的交通费用以及激光治疗费用相关的成本。
330例糖尿病视网膜病变患者中纳入了43例（13%）。平均年龄为55.67±8.40岁。女性25例（58.1%），男性18例（41.9%），男女比例为0.7。失业患者占28例（65.1%），就业患者15例（34.9%）。27例患者（62.8%）所有费用自费，14例（32.6%）由家人资助，2例（4.6%）有保险。平均每只眼总支出为86002±67197非洲法郎，按1欧元兑换656非洲法郎的汇率换算相当于131±102欧元。
氩激光治疗糖尿病视网膜病变的成本很高，在我们地区主要因交通相关的额外成本而增加。在喀麦隆10个地区设立卫星中心将降低这些成本。
