Cost effect of surgeon and patient discretion in regard to cataract surgery

Tyler D Oostra,1 Thomas F Mauger2 1Havener Eye Institute, Department of Ophthalmology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USA; 2West Virginia University Eye Institute, Department of Ophthalmology, West Virginia University, Morgantown, WV 26506, USA Purpose: The pu...

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Autores principales:	Oostra TD, Mauger TF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Cataract surgery cost effect Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/eee1a5cc156e44f4b417d71bb4fe900e
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spelling	oai:doaj.org-article:eee1a5cc156e44f4b417d71bb4fe900e2021-12-02T07:36:30ZCost effect of surgeon and patient discretion in regard to cataract surgery1177-5483https://doaj.org/article/eee1a5cc156e44f4b417d71bb4fe900e2018-12-01T00:00:00Zhttps://www.dovepress.com/cost-effect-of-surgeon-and-patient-discretion-in-regard-to-cataract-su-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Tyler D Oostra,1 Thomas F Mauger2 1Havener Eye Institute, Department of Ophthalmology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USA; 2West Virginia University Eye Institute, Department of Ophthalmology, West Virginia University, Morgantown, WV 26506, USA Purpose: The purpose of this study is to examine the cost effect of surgeon and patient discretion in regard to cataract surgery and how this affects population health care costs.Methods: A model of cataract progression was created from preexisting published data and combined with mortality data and Medicare cataract statistics to estimate the effect of mortality on decreasing the rate of cataract surgery if surgery was delayed until any cataract progression occurred.Results: Five-year cataract progression rates were determined for a given patient age, sex, and type of cataract. Combined with 5-year death rates, delaying surgery until progression occurred resulted in a 1.1% decrease in surgery for nuclear sclerosis at age 45 that increased to a 33.8% decrease by age 90; a 1.5% decrease in surgery for cortical cataract at age 45 that increased to a 51.1% decrease by age 90; and a 1.6% decrease in surgery for posterior subcapsular at age 45 that increased to a 59.7% decrease by age 90. The effect of this decrease in surgical volume on Medicare was estimated to result in a 13% overall decrease in cataract surgery annually at a cost of ~$660 million dollars per year.Conclusion: Overall, we conclude that surgeon and patient discretion in regard to cataract surgery has a substantial cost effect with the potential to reduce surgical volume by as much as 13% by the decision to delay surgery as a result of patient mortality. Keywords: cataract surgery, cataract progression, cost effect, health care costsOostra TDMauger TFDove Medical PressarticleCataract surgerycost effectOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2563-2565 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cataract surgery cost effect Ophthalmology RE1-994
spellingShingle	Cataract surgery cost effect Ophthalmology RE1-994 Oostra TD Mauger TF Cost effect of surgeon and patient discretion in regard to cataract surgery
description	Tyler D Oostra,1 Thomas F Mauger2 1Havener Eye Institute, Department of Ophthalmology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USA; 2West Virginia University Eye Institute, Department of Ophthalmology, West Virginia University, Morgantown, WV 26506, USA Purpose: The purpose of this study is to examine the cost effect of surgeon and patient discretion in regard to cataract surgery and how this affects population health care costs.Methods: A model of cataract progression was created from preexisting published data and combined with mortality data and Medicare cataract statistics to estimate the effect of mortality on decreasing the rate of cataract surgery if surgery was delayed until any cataract progression occurred.Results: Five-year cataract progression rates were determined for a given patient age, sex, and type of cataract. Combined with 5-year death rates, delaying surgery until progression occurred resulted in a 1.1% decrease in surgery for nuclear sclerosis at age 45 that increased to a 33.8% decrease by age 90; a 1.5% decrease in surgery for cortical cataract at age 45 that increased to a 51.1% decrease by age 90; and a 1.6% decrease in surgery for posterior subcapsular at age 45 that increased to a 59.7% decrease by age 90. The effect of this decrease in surgical volume on Medicare was estimated to result in a 13% overall decrease in cataract surgery annually at a cost of ~$660 million dollars per year.Conclusion: Overall, we conclude that surgeon and patient discretion in regard to cataract surgery has a substantial cost effect with the potential to reduce surgical volume by as much as 13% by the decision to delay surgery as a result of patient mortality. Keywords: cataract surgery, cataract progression, cost effect, health care costs
format	article
author	Oostra TD Mauger TF
author_facet	Oostra TD Mauger TF
author_sort	Oostra TD
title	Cost effect of surgeon and patient discretion in regard to cataract surgery
title_short	Cost effect of surgeon and patient discretion in regard to cataract surgery
title_full	Cost effect of surgeon and patient discretion in regard to cataract surgery
title_fullStr	Cost effect of surgeon and patient discretion in regard to cataract surgery
title_full_unstemmed	Cost effect of surgeon and patient discretion in regard to cataract surgery
title_sort	cost effect of surgeon and patient discretion in regard to cataract surgery
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/eee1a5cc156e44f4b417d71bb4fe900e
work_keys_str_mv	AT oostratd costeffectofsurgeonandpatientdiscretioninregardtocataractsurgery AT maugertf costeffectofsurgeonandpatientdiscretioninregardtocataractsurgery
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Cost effect of surgeon and patient discretion in regard to cataract surgery

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