Estimated Annual Economic Burden of Dry Eye Disease Based on a Multi-Center Analysis in China: A Retrospective Study

Purpose: To conduct a multi-center analysis and assess the economic burden due to dry eye disease (DED) in China.Design: A retrospective and cross-sectional study.Methods: Patients (n = 598) with diagnosed DED were recruited from 3 eye centers (in central, southeast, and northeast China) from 1 Janu...

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Autores principales: Wanju Yang, Yanzhu Luo, Shangcao Wu, Xiaoxia Niu, Yanshuang Yan, Chen Qiao, Wei Ming, Ying Zhang, Haoyu Wang, Dan Chen, Mengying Qi, Lan Ke, Ying Wang, Liping Li, Shaowei Li, Qingyan Zeng
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/f8d2003201784b08a1574830de28cbed
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spelling oai:doaj.org-article:f8d2003201784b08a1574830de28cbed2021-12-01T21:45:11ZEstimated Annual Economic Burden of Dry Eye Disease Based on a Multi-Center Analysis in China: A Retrospective Study2296-858X10.3389/fmed.2021.771352https://doaj.org/article/f8d2003201784b08a1574830de28cbed2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.771352/fullhttps://doaj.org/toc/2296-858XPurpose: To conduct a multi-center analysis and assess the economic burden due to dry eye disease (DED) in China.Design: A retrospective and cross-sectional study.Methods: Patients (n = 598) with diagnosed DED were recruited from 3 eye centers (in central, southeast, and northeast China) from 1 January 2018 to 31 December 2018. Data were collected regarding the examination, pharmacological therapy, and non-pharmacological therapy fees. Sub-group analyses were stratified by eye center, DED severity, types of DED, number of visits to physicians, and residential area. A logistic regression analysis was conducted to investigate the variables influencing total costs.Results: The per capita costs devoted to DED at the 3 centers were 422.6, 391.3, and 265.4 USD, respectively. The costs of non-pharmacological therapy accounted the largest part in three centers (75.6, 76.4, 76.5%, respectively). Patients with severe DED sustained the largest economic burden. Patients with mixed type of DED spent the most comparing to patients with either evaporative or aqueous-deficient types of DED. Patients spent more during the first visit compared with subsequent visits. Patients living in urban areas spent significantly more than did those living in rural areas (P = 0.001). The logistics regression analysis showed that total costs were significantly influenced by DED severity, number of visits to physicians, and area of residence (beta = 2.83, 0.83, 1.48; P < 0.0001).Conclusions: DED is a chronic ocular disease that timely non-cost counseling, early diagnosis, and efficacious treatment can reduce its economic burden on patients and the society.Wanju YangYanzhu LuoYanzhu LuoYanzhu LuoShangcao WuXiaoxia NiuYanshuang YanChen QiaoChen QiaoWei MingWei MingYing ZhangHaoyu WangHaoyu WangDan ChenDan ChenMengying QiMengying QiLan KeLan KeYing WangYing WangLiping LiLiping LiShaowei LiQingyan ZengQingyan ZengQingyan ZengQingyan ZengQingyan ZengFrontiers Media S.A.articledry eye diseaseburden of diseasecostsmulti-center analysisChinaMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic dry eye disease
burden of disease
costs
multi-center analysis
China
Medicine (General)
R5-920
spellingShingle dry eye disease
burden of disease
costs
multi-center analysis
China
Medicine (General)
R5-920
Wanju Yang
Yanzhu Luo
Yanzhu Luo
Yanzhu Luo
Shangcao Wu
Xiaoxia Niu
Yanshuang Yan
Chen Qiao
Chen Qiao
Wei Ming
Wei Ming
Ying Zhang
Haoyu Wang
Haoyu Wang
Dan Chen
Dan Chen
Mengying Qi
Mengying Qi
Lan Ke
Lan Ke
Ying Wang
Ying Wang
Liping Li
Liping Li
Shaowei Li
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
Estimated Annual Economic Burden of Dry Eye Disease Based on a Multi-Center Analysis in China: A Retrospective Study
description Purpose: To conduct a multi-center analysis and assess the economic burden due to dry eye disease (DED) in China.Design: A retrospective and cross-sectional study.Methods: Patients (n = 598) with diagnosed DED were recruited from 3 eye centers (in central, southeast, and northeast China) from 1 January 2018 to 31 December 2018. Data were collected regarding the examination, pharmacological therapy, and non-pharmacological therapy fees. Sub-group analyses were stratified by eye center, DED severity, types of DED, number of visits to physicians, and residential area. A logistic regression analysis was conducted to investigate the variables influencing total costs.Results: The per capita costs devoted to DED at the 3 centers were 422.6, 391.3, and 265.4 USD, respectively. The costs of non-pharmacological therapy accounted the largest part in three centers (75.6, 76.4, 76.5%, respectively). Patients with severe DED sustained the largest economic burden. Patients with mixed type of DED spent the most comparing to patients with either evaporative or aqueous-deficient types of DED. Patients spent more during the first visit compared with subsequent visits. Patients living in urban areas spent significantly more than did those living in rural areas (P = 0.001). The logistics regression analysis showed that total costs were significantly influenced by DED severity, number of visits to physicians, and area of residence (beta = 2.83, 0.83, 1.48; P < 0.0001).Conclusions: DED is a chronic ocular disease that timely non-cost counseling, early diagnosis, and efficacious treatment can reduce its economic burden on patients and the society.
format article
author Wanju Yang
Yanzhu Luo
Yanzhu Luo
Yanzhu Luo
Shangcao Wu
Xiaoxia Niu
Yanshuang Yan
Chen Qiao
Chen Qiao
Wei Ming
Wei Ming
Ying Zhang
Haoyu Wang
Haoyu Wang
Dan Chen
Dan Chen
Mengying Qi
Mengying Qi
Lan Ke
Lan Ke
Ying Wang
Ying Wang
Liping Li
Liping Li
Shaowei Li
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
author_facet Wanju Yang
Yanzhu Luo
Yanzhu Luo
Yanzhu Luo
Shangcao Wu
Xiaoxia Niu
Yanshuang Yan
Chen Qiao
Chen Qiao
Wei Ming
Wei Ming
Ying Zhang
Haoyu Wang
Haoyu Wang
Dan Chen
Dan Chen
Mengying Qi
Mengying Qi
Lan Ke
Lan Ke
Ying Wang
Ying Wang
Liping Li
Liping Li
Shaowei Li
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
Qingyan Zeng
author_sort Wanju Yang
title Estimated Annual Economic Burden of Dry Eye Disease Based on a Multi-Center Analysis in China: A Retrospective Study
title_short Estimated Annual Economic Burden of Dry Eye Disease Based on a Multi-Center Analysis in China: A Retrospective Study
title_full Estimated Annual Economic Burden of Dry Eye Disease Based on a Multi-Center Analysis in China: A Retrospective Study
title_fullStr Estimated Annual Economic Burden of Dry Eye Disease Based on a Multi-Center Analysis in China: A Retrospective Study
title_full_unstemmed Estimated Annual Economic Burden of Dry Eye Disease Based on a Multi-Center Analysis in China: A Retrospective Study
title_sort estimated annual economic burden of dry eye disease based on a multi-center analysis in china: a retrospective study
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/f8d2003201784b08a1574830de28cbed
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