Cost Analysis of Scleral Buckle and Pars Plana Vitrectomy for Retinal Detachment Surgery
Álvaro J Rallo-López,1 Rafael Martínez-Costa Pérez2 1Department of Ophthalmology, Clínica Baviera, Valencia, Spain; 2Department of Ophthalmology – Retina and Vitreous, Hospital Universitario y Politécnico La Fe, Valencia, SpainCorrespondence: Álvaro J Rallo-López, Email rallo.1c@gmail.comBackground...
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Dove Medical Press
2024-10-01
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| author | Rallo-López ÁJ Martínez-Costa Pérez R |
| author_facet | Rallo-López ÁJ Martínez-Costa Pérez R |
| author_sort | Rallo-López ÁJ |
| collection | DOAJ |
| description | Álvaro J Rallo-López,1 Rafael Martínez-Costa Pérez2 1Department of Ophthalmology, Clínica Baviera, Valencia, Spain; 2Department of Ophthalmology – Retina and Vitreous, Hospital Universitario y Politécnico La Fe, Valencia, SpainCorrespondence: Álvaro J Rallo-López, Email rallo.1c@gmail.comBackground and Objective: To compare the cost and utility of scleral buckle (SB) and pars plana vitrectomy (PPV) techniques for repairing moderately complex rhegmatogenous retinal detachment (RRD).Patients, Materials, and Methods: A cost-utility analysis was conducted using data from the Primary Retinal Detachment Outcomes Study (PRO) and a study conducted by the author. Total costs, patient utility over a lifetime, and cost per quality-adjusted life year (QALY) were calculated for each surgical procedure.Results: The cost of scleral buckle surgery was € 287.93, with an estimated lifetime QALY of 7.49. Costs per QALY were € 38.44. According to the PRO study and Belin et al, total costs were $5975, with a lifetime QALY of 5.4 and costs per QALY of $1106. The cost of pars plana vitrectomy (PPV) was € 1468.26, with an estimated lifetime QALY of 6.84 and costs per QALY of € 214.65. Based on the PRO study and Belin et al, total costs were $8125, with a lifetime QALY of 4.7 and costs per QALY of $2196.Conclusion: Repairing moderately complex RRD presents a highly cost-effective profile for both SB and PPV techniques, well below recommended QALY thresholds. SB demonstrated a slightly more favorable profile compared to PPV.Keywords: retinal detachment, pars plana vitrectomy, scleral buckle, cost-utility analysis, QALY |
| format | Article |
| id | doaj-art-d986ab3d09fc4829be50af4556b58582 |
| institution | OA Journals |
| issn | 1177-5483 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj-art-d986ab3d09fc4829be50af4556b585822025-08-20T01:47:34ZengDove Medical PressClinical Ophthalmology1177-54832024-10-01Volume 182891289596384Cost Analysis of Scleral Buckle and Pars Plana Vitrectomy for Retinal Detachment SurgeryRallo-López ÁJMartínez-Costa Pérez RÁlvaro J Rallo-López,1 Rafael Martínez-Costa Pérez2 1Department of Ophthalmology, Clínica Baviera, Valencia, Spain; 2Department of Ophthalmology – Retina and Vitreous, Hospital Universitario y Politécnico La Fe, Valencia, SpainCorrespondence: Álvaro J Rallo-López, Email rallo.1c@gmail.comBackground and Objective: To compare the cost and utility of scleral buckle (SB) and pars plana vitrectomy (PPV) techniques for repairing moderately complex rhegmatogenous retinal detachment (RRD).Patients, Materials, and Methods: A cost-utility analysis was conducted using data from the Primary Retinal Detachment Outcomes Study (PRO) and a study conducted by the author. Total costs, patient utility over a lifetime, and cost per quality-adjusted life year (QALY) were calculated for each surgical procedure.Results: The cost of scleral buckle surgery was € 287.93, with an estimated lifetime QALY of 7.49. Costs per QALY were € 38.44. According to the PRO study and Belin et al, total costs were $5975, with a lifetime QALY of 5.4 and costs per QALY of $1106. The cost of pars plana vitrectomy (PPV) was € 1468.26, with an estimated lifetime QALY of 6.84 and costs per QALY of € 214.65. Based on the PRO study and Belin et al, total costs were $8125, with a lifetime QALY of 4.7 and costs per QALY of $2196.Conclusion: Repairing moderately complex RRD presents a highly cost-effective profile for both SB and PPV techniques, well below recommended QALY thresholds. SB demonstrated a slightly more favorable profile compared to PPV.Keywords: retinal detachment, pars plana vitrectomy, scleral buckle, cost-utility analysis, QALYhttps://www.dovepress.com/cost-analysis-of-scleral-buckle-and-pars-plana-vitrectomy-for-retinal--peer-reviewed-fulltext-article-OPTHretinal detachmentpars plana vitrectomyscleral bucklecost-utility analysisqaly. |
| spellingShingle | Rallo-López ÁJ Martínez-Costa Pérez R Cost Analysis of Scleral Buckle and Pars Plana Vitrectomy for Retinal Detachment Surgery Clinical Ophthalmology retinal detachment pars plana vitrectomy scleral buckle cost-utility analysis qaly. |
| title | Cost Analysis of Scleral Buckle and Pars Plana Vitrectomy for Retinal Detachment Surgery |
| title_full | Cost Analysis of Scleral Buckle and Pars Plana Vitrectomy for Retinal Detachment Surgery |
| title_fullStr | Cost Analysis of Scleral Buckle and Pars Plana Vitrectomy for Retinal Detachment Surgery |
| title_full_unstemmed | Cost Analysis of Scleral Buckle and Pars Plana Vitrectomy for Retinal Detachment Surgery |
| title_short | Cost Analysis of Scleral Buckle and Pars Plana Vitrectomy for Retinal Detachment Surgery |
| title_sort | cost analysis of scleral buckle and pars plana vitrectomy for retinal detachment surgery |
| topic | retinal detachment pars plana vitrectomy scleral buckle cost-utility analysis qaly. |
| url | https://www.dovepress.com/cost-analysis-of-scleral-buckle-and-pars-plana-vitrectomy-for-retinal--peer-reviewed-fulltext-article-OPTH |
| work_keys_str_mv | AT rallolopezaj costanalysisofscleralbuckleandparsplanavitrectomyforretinaldetachmentsurgery AT martinezcostaperezr costanalysisofscleralbuckleandparsplanavitrectomyforretinaldetachmentsurgery |