Cost-utility of routine cataract surgery
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Cost-utility of routine cataract surgery Pirjo Räsänen*1, Kari Krootila2, Harri Sintonen3, Tiina Leivo2, AnnaMaija Koivisto4, Olli-Pekka Ryynänen5, Marja Blom6 and Risto P Roine1 Address: 1Helsinki and Uusimaa Hospital Group, Group Administration, P.O.Box 440, 00029 HUS, Helsinki, Finland, 2Helsinki University Eye Hospital, P.O.Box 220, 00029 HUS, Helsinki, Finland, 3University of Helsinki, Department of Public Health and Finnish Office for Health Technology Assessment, Helsinki, Finland P.O.Box 41, 00014 Yliopisto, Helsinki, Finland, 4University of Tampere, School of Public Health, 33014 Yliopisto, Tampere, Finland, 5University of Kuopio, Department of Health Policy and Management, P.O.Box 1627, 70211 Kuopio, Finland and 6Academy of Finland, c/o Stakes and Jorvi Hospital, Espoo, Finland, P.O.Box 220, 00531 Helsinki, Finland Email: Pirjo Räsänen* - [email protected]; Kari Krootila - [email protected]; Harri Sintonen - [email protected]; Tiina Leivo - [email protected]; Anna-Maija Koivisto - [email protected]; Olli-Pekka Ryynänen - [email protected]; Marja Blom - [email protected]; Risto P Roine - [email protected] * Corresponding author
Published: 29 September 2006 Health and Quality of Life Outcomes 2006, 4:74
doi:10.1186/1477-7525-4-74
Received: 17 August 2006 Accepted: 29 September 2006
This article is available from: http://www.hqlo.com/content/4/1/74 © 2006 Räsänen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: If decisions on health care spending are to be as rational and objective as possible, knowledge on cost-effectiveness of routine care is essential. Our aim, therefore, was to evaluate the cost-utility of routine cataract surgery in a real-world setting. Methods: Prospective assessment of health-related quality of life (HRQoL) of patients undergoing cataract surgery. 219 patients (mean (SD) age 71 (11) years) entering cataract surgery (in 87 only first eye operated, in 73 both eyes operated, in 59 first eye had been operated earlier) filled in the 15D HRQoL questionnaire before and six months after operation. Direct hospital costs were obtained from a clinical patient administration database and cost-utility analysis performed from the perspective of the secondary care provider extrapolating benefits of surgery to the remaining statistical life-expectancy of the patients. Results: Mean (SD) utility score (on a 0–1 scale) increased statistically insignificantly from 0.82 (0.13) to 0.83 (0.14). Of the 15 dimensions of the HRQoL instrument, only seeing improved significantly after operation. Mean utility score improved statistically significantly only in patients reporting significant or major preoperative seeing problems. Of the subgroups, only those whose both eyes
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