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COMPARISON OF RECENTLY USED PHACOEMULSIFICATION SYSTEMS USING A HEALTH TECHNOLOGY ASSESSMENT METHOD

Published online by Cambridge University Press:  06 July 2017

Jiannan Huang ,
Qi Wang ,
Caimin Zhao ,
Xiaohua Ying  and
Haidong Zou
Jiannan Huang
Affiliation:
Shanghai General Hospital of Nanjing Medical University Shanghai Eye Hospital, Shanghai Eye Diseases Prevention & Treatment Center
Qi Wang
Affiliation:
Shanghai General Hospital of Nanjing Medical University
Caimin Zhao
Affiliation:
Shanghai Eye Hospital, Shanghai Eye Diseases Prevention & Treatment Center
Xiaohua Ying
Affiliation:
Department of Health economics, School of Public Health, Fudan University
Haidong Zou
Affiliation:
Shanghai General Hospital of Nanjing Medical University Shanghai Eye Hospital, Shanghai Eye Diseases Prevention & Treatment Centerzouhaidong@hotmail.com
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Abstract

Objectives: To compare the recently used phacoemulsification systems using a health technology assessment (HTA) model.

Methods: A self-administered questionnaire, which included questions to gauge on the opinions of the recently used phacoemulsification systems, was distributed to the chief cataract surgeons in the departments of ophthalmology of eighteen tertiary hospitals in Shanghai, China. A series of senile cataract patients undergoing phacoemulsification surgery were enrolled in the study. The surgical results and the average costs related to their surgeries were all recorded and compared for the recently used phacoemulsification systems.

Results: The four phacoemulsification systems currently used in Shanghai are the Infiniti Vision, Centurion Vision, WhiteStar Signature, and Stellaris Vision Enhancement systems. All of the doctors confirmed that the systems they used would help cataract patients recover vision. A total of 150 cataract patients who underwent phacoemulsification surgery were enrolled in the present study. A significant difference was found among the four groups in cumulative dissipated energy, with the lowest value found in the Centurion group. No serious complications were observed and a positive trend in visual acuity was found in all four groups after cataract surgery. The highest total cost of surgery was associated with procedures conducted using the Centurion Vision system, and significant differences between systems were mainly because of the cost of the consumables used in the different surgeries.

Conclusions: This HTA comparison of four recently used phacoemulsification systems found that each of system offers a satisfactory vision recovery outcome, but differs in surgical efficacy and costs.

Keywords

Health technology assessmentPhacoemulsificationCataractCostVisual acuity
Type
Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 33 , Issue 2 , 2017 , pp. 232 - 238
Copyright
Copyright © Cambridge University Press 2017 

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References

REFERENCES

1. Lundstrom, M, Barry, P, Henry, Y, Rosen, P, Stenevi, U. Evidence-based guidelines for cataract surgery: Guidelines based on data in the European Registry of Quality Outcomes for Cataract and Refractive Surgery database. J Cataract Refract Surg. 2012;38:1086–1093.CrossRefGoogle ScholarPubMed
2. The City Medical Insurance system in Shanghai. Shanghai Government 2015. http://www.shyb.gov.cn/ybdt/201510/t20151026_1239461.shtml (accessed August 8, 2016).Google Scholar
3. Sigmund, H, Kristensen, FB. Health technology assessment in Denmark: Strategy, implementation, and developments. Int J Technol Assess Health Care. 2009;25 (Suppl 1):94–101.Google Scholar
4. Garrido, MV, Kristensen, FB, Nielsen, CP. Health technology assessment and health policy-making in Europe; Current status, challenge and potential. Geneva: WHO Regional Office Europe. 2008.Google Scholar
5. Gagnon, MP. Hospital-based health technology assessment: Development to date. Pharmacoeconomics. 2014;32:819–824.Google Scholar
6. McGregor, M, Brophy, JM. End-user involvement in health technology assessment (HTA) development: A way to increase impact. Int J Technol Assess Health Care. 2005;21:263–267.Google Scholar
7. Ehlers, L, Vestergaard, M, Kidholm, K, et al. Doing mini-health technology assessments in hospitals: A new concept of decision support in health care? Int J Technol Assess Health Care. 2006;22:295–301.Google Scholar
8. Danish Centre for Evaluation and Health Technology Assessment (DACEHTA). Introduction to mini-HTA -a management and decision support tool for the hospital service. Copenhagen: National Board of Health; 2005.Google Scholar
9. Christakis, PG, Braga-Mele, RM. Intraoperative performance and postoperative outcome comparison of longitudinal, torsional, and transversal phacoemulsification machines. J Cataract Refract Surg. 2012;38:234–241.CrossRefGoogle ScholarPubMed
10. Solomon, KD, Lorente, R, Fanney, D, Cionni, RJ. Clinical study using a new phacoemulsification system with surgical intraocular pressure control. J Cataract Refract Surg. 2016;42:542–549.CrossRefGoogle ScholarPubMed
11. Chylack, LT Jr, Leske, MC, McCarthy, D, Khu, P, Kashiwagi, T, Sperduto, R. Lens Opacities Classification System II(LOCS II). Arch Ophthalmol. 1989;107:991–997.Google Scholar
12. Kidholm, K, Ehlers, L, Korsbek, L, Kjaerby, R, Beck, M. Assessment of the quality of mini-HTA. Int J Technol Assess Health Care. 2009;25:42–48.Google Scholar
13. Grosso, A, Charrier, L, Lovato, E, et al. Twenty-five-gauge vitrectomy versus 23-gauge vitrectomy in the management of macular diseases: A comparative analysis through a health technology assessment mode. Int Ophthalmol. 2014;34:217–223.Google Scholar
14. Chalkidou, K, Levine, R, Dillon, A. Helping poorer countries make locally informed health decisions. BMJ. 2010;341:c3651.CrossRefGoogle ScholarPubMed
15. Sampietro-Colom, L, Morilla-Bachs, M, Gutierrez-Moreno, S, Gallo, P. Development and test of a decision support tool for hospital health technology assessment. Int J Technol Assess Health Care. 2012;28:460–465.Google Scholar