The University of Southampton
University of Southampton Institutional Repository

The cost-effectiveness of second-eye cataract surgery in UK

The cost-effectiveness of second-eye cataract surgery in UK
The cost-effectiveness of second-eye cataract surgery in UK
Background: elective cataract surgery is the most commonly performed surgical procedure in developed countries. However, it is unclear whether cataract surgery on the second eye provides enough incremental benefit to be considered cost-effective. This study conducted a cost-effectiveness analysis of second-eye cataract surgery in the UK.
Design: a cost-effectiveness analysis.
Methods: a decision-analytical model was developed to estimate the cost-effectiveness of second-eye cataract surgery, based on a comprehensive epidemiological and economic review to develop the parameters for the model. The model followed the clinical pathway of cohorts of patients receiving second-eye cataract surgery and included costs and health benefits associated with post-surgical complications.
Results: in the model, second-eye surgery generated 0.68 additional quality-adjusted life years (QALY) with an incremental cost-effectiveness ratio of £1,964 per QALY gained. In sensitivity analyses, model results were most sensitive to changes in the health-related quality of life (HRQoL) gain associated with second-eye surgery, but otherwise robust to changes in parameter values. The probability that second-eye surgery is cost-effective at willingness to pay thresholds of £10,000 and £20,000 was 100%.
Conclusion: second-eye cataract surgery is generally cost-effective based on the best available data and under most assumptions. However, there are only a small number of clinical trials for second-eye cataract surgery, and these have not been conducted in recent years.
cataract, cost-effectiveness, second-eye surgery, older people
0002-0729
1026-1031
Cooper, Keith
ea064f58-d71d-404a-bcf3-49d243b8825b
Shepherd, Jonathan
dfbca97a-9307-4eee-bdf7-e27bcb02bc67
Frampton, Geoff
26c6163c-3428-45b8-b8b9-92091ff6c69f
Harris, Petra
0e15de29-ece4-43e6-9861-4e20bcee5acd
Lotery, Andrew
5ecc2d2d-d0b4-468f-ad2c-df7156f8e514
Cooper, Keith
ea064f58-d71d-404a-bcf3-49d243b8825b
Shepherd, Jonathan
dfbca97a-9307-4eee-bdf7-e27bcb02bc67
Frampton, Geoff
26c6163c-3428-45b8-b8b9-92091ff6c69f
Harris, Petra
0e15de29-ece4-43e6-9861-4e20bcee5acd
Lotery, Andrew
5ecc2d2d-d0b4-468f-ad2c-df7156f8e514

Cooper, Keith, Shepherd, Jonathan, Frampton, Geoff, Harris, Petra and Lotery, Andrew (2015) The cost-effectiveness of second-eye cataract surgery in UK. Age and Ageing, 44 (6), 1026-1031. (doi:10.1093/ageing/afv126). (PMID:26410365)

Record type: Article

Abstract

Background: elective cataract surgery is the most commonly performed surgical procedure in developed countries. However, it is unclear whether cataract surgery on the second eye provides enough incremental benefit to be considered cost-effective. This study conducted a cost-effectiveness analysis of second-eye cataract surgery in the UK.
Design: a cost-effectiveness analysis.
Methods: a decision-analytical model was developed to estimate the cost-effectiveness of second-eye cataract surgery, based on a comprehensive epidemiological and economic review to develop the parameters for the model. The model followed the clinical pathway of cohorts of patients receiving second-eye cataract surgery and included costs and health benefits associated with post-surgical complications.
Results: in the model, second-eye surgery generated 0.68 additional quality-adjusted life years (QALY) with an incremental cost-effectiveness ratio of £1,964 per QALY gained. In sensitivity analyses, model results were most sensitive to changes in the health-related quality of life (HRQoL) gain associated with second-eye surgery, but otherwise robust to changes in parameter values. The probability that second-eye surgery is cost-effective at willingness to pay thresholds of £10,000 and £20,000 was 100%.
Conclusion: second-eye cataract surgery is generally cost-effective based on the best available data and under most assumptions. However, there are only a small number of clinical trials for second-eye cataract surgery, and these have not been conducted in recent years.

This record has no associated files available for download.

More information

Accepted/In Press date: 27 July 2015
e-pub ahead of print date: 26 September 2015
Published date: November 2015
Keywords: cataract, cost-effectiveness, second-eye surgery, older people
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 382314
URI: http://eprints.soton.ac.uk/id/eprint/382314
ISSN: 0002-0729
PURE UUID: eb1d5858-46b5-4b0d-a928-57d6443e2748
ORCID for Keith Cooper: ORCID iD orcid.org/0000-0002-0318-7670
ORCID for Jonathan Shepherd: ORCID iD orcid.org/0000-0003-1682-4330
ORCID for Geoff Frampton: ORCID iD orcid.org/0000-0003-2005-0497
ORCID for Andrew Lotery: ORCID iD orcid.org/0000-0001-5541-4305

Catalogue record

Date deposited: 29 Oct 2015 09:07
Last modified: 15 Mar 2024 03:16

Export record

Altmetrics

Contributors

Author: Keith Cooper ORCID iD
Author: Geoff Frampton ORCID iD
Author: Petra Harris
Author: Andrew Lotery ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×