Marseille E
Institute for Health Policy Studies, University of California, San Francisco, USA.
Bull World Health Organ. 1996;74(3):319-24.
Presented is an assessment of the cost-effectiveness of cataract surgery using cost and services data from the Lumbini Zonal Eye Care Programme in Nepal. The analysis suggests that cataract surgery may be even more cost-effective than previously reported. Under a "best estimate" scenario, cataract surgery had a cost of US$5.06 per disability-adjusted life year (DALY). This places it among the most cost-effective of public health interventions. Sensitivity analysis indicates that cataract surgery remains highly cost-effective even under a very pessimistic set of assumptions. The estimated mortality rates of those who receive surgery and of those who do not are among the variables that most influence the cost per DALY.
本文利用尼泊尔蓝毗尼地区眼保健项目的成本和服务数据，对白内障手术的成本效益进行了评估。分析表明，白内障手术的成本效益可能比先前报告的更高。在“最佳估计”情况下，白内障手术每获得一个伤残调整生命年（DALY）的成本为5.06美元。这使其成为最具成本效益的公共卫生干预措施之一。敏感性分析表明，即使在一组非常悲观的假设下，白内障手术仍然具有很高的成本效益。接受手术者和未接受手术者的估计死亡率是对每DALY成本影响最大的变量之一。
