التفاصيل البيبلوغرافية
| العنوان: |
Practice patterns and costs of glaucoma treatment in Japan. |
| المؤلفون: |
Fujita, Asahi, Hashimoto, Yohei, Okada, Akira, Matsui, Hiroki, Yasunaga, Hideo, Aihara, Makoto |
| المصدر: |
Japanese Journal of Ophthalmology; Sep2023, Vol. 67 Issue 5, p590-601, 12p |
| مصطلحات موضوعية: |
GLAUCOMA, AGE distribution, EYE drops, INTRAOCULAR pressure, TRABECULECTOMY, VISUAL fields, TONOMETRY |
| مصطلحات جغرافية: |
JAPAN |
| مستخلص: |
Purpose: Understanding the practice patterns and costs of glaucoma care in real-world clinical settings is important for optimizing medical expenses. However, glaucoma treatment trends and associated costs in Japan are unknown. We aimed to unveil glaucoma treatment trends and costs using a large administrative claims database in Japan. Study design: Retrospective cohort study. Methods: We included patients diagnosed with glaucoma between April 2014 and March 2021 using the DeSC database. We calculated the frequencies and costs of antiglaucoma eyedrops, incisional or laser procedures, and ophthalmic examinations stratified by fiscal year and age. In the year-by-year analyses, the age distribution was standardized based on the 2020 distribution. Results: A total of 841,747 patient-years (429,051 patients) were included. The number of prescribed eyedrops significantly increased and the fixed-combination eyedrops proportion decreased with age. Trabeculectomy frequency decreased, and that of laser trabeculoplasty increased during the observation period. The frequencies of both incisional and laser procedures peaked in the 75–79 age group. In 2020, 16.1 bottles of eyedrops per patient-year were prescribed, and 15.9 incisional surgeries and 11.3 laser therapies were performed per 1000 patient-years. Intraocular pressure measurement and visual field testing were performed 6.5 times and 2.0 times per patient-year, respectively. The total direct cost of glaucoma treatment was 55,139 yen (US $399.5) per patient-year, of which medications accounted for 44.2%, ophthalmic examinations for 47.4%, and incisional or laser procedures for 8.4%. Conclusion: These results may be useful for understanding glaucoma treatment trends and costs in Japan. [ABSTRACT FROM AUTHOR] |
|
Copyright of Japanese Journal of Ophthalmology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
