Department of Ophthalmology, Atrium Health Wake Forest Baptist, Winston Salem, North Carolina.
Department of Ophthalmology, Atrium Health Wake Forest Baptist, Winston Salem, North Carolina.
J AAPOS. 2023 Apr;27(2):65-69. doi: 10.1016/j.jaapos.2022.12.005. Epub 2023 Mar 20.
Economic evaluations in health care quantitatively compare interventions using cost and outcomes data. These evaluations can aid in the adoption of new surgical or medical treatments and inform policy decisions regarding healthcare spending. Several common types of economic analysis exist (cost-benefit, cost-analysis, cost-effectiveness, and cost-utility). We review all English-language economic evaluations in strabismus surgery and pediatric ophthalmology.
An electronic literature search of the PubMed and Health Economic Evaluations databases was conducted. Two reviewers independently reviewed the search string yield and assessed articles against inclusion and exclusion criteria. Outcome measures included journal of publication, year of publication, domain of ophthalmology, region/country of study, and type of economic evaluation.
We identified 62 articles. Cost-utility studies comprised 30% of evaluations. The most studied domain was retinopathy of prematurity (33%), followed by amblyopia and vision screening (24%) and cataracts (14%). The Journal of the American Association for Pediatric Ophthalmology and Strabismus published the most economic evaluations (15%) followed by Ophthalmology and Pediatrics. The number of published economic evaluations did not increase over time.
Economic evaluations in pediatric ophthalmology and strabismus have not increased over time. A minority (30%) of studies used cost utility-analysis, limiting comparisons to other domains of medicine. This suggests the need to alert pediatric ophthalmologists to the benefits of economic analysis, and cost-utility methodology specifically, to better inform and influence policy decisions regarding healthcare spending.
医疗保健中的经济评估通过成本和结果数据定量比较干预措施。这些评估可以帮助采用新的手术或医疗治疗方法，并为医疗保健支出的政策决策提供信息。存在几种常见类型的经济分析（成本效益分析、成本分析、成本效果分析和成本效用分析）。我们回顾了斜视手术和小儿眼科的所有英文经济评估。
对 PubMed 和健康经济评估数据库进行了电子文献检索。两名审查员独立审查了搜索词的结果，并根据纳入和排除标准评估了文章。主要结局指标包括发表的期刊、发表年份、眼科领域、研究的地区/国家以及经济评估的类型。
我们确定了 62 篇文章。成本效用研究占评估的 30%。研究最多的领域是早产儿视网膜病变（33%），其次是弱视和视力筛查（24%）和白内障（14%）。美国儿科学会眼科和斜视杂志发表的经济评估最多（15%），其次是眼科学和儿科学。发表的经济评估数量并没有随着时间的推移而增加。
小儿眼科和斜视的经济评估并没有随着时间的推移而增加。只有少数（30%）的研究使用成本效用分析，限制了与医学其他领域的比较。这表明需要提醒小儿眼科医生经济分析的好处，特别是成本效用方法，以更好地告知和影响医疗保健支出的政策决策。
