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CONTINUOUS COMPUTER SIMULATION ANALYSIS OF THE COST-EFFECTIVENESS OF SCREENING AND TREATING DIABETIC RETINOPATHY

Published online by Cambridge University Press:  01 January 1999

Harry Crijns
Affiliation:
Erasmus University
A. F. Casparie
Affiliation:
Erasmus University
Fred Hendrikse
Affiliation:
Maastricht Academic Hospital

Abstract

This paper analyzes the cost-effectiveness of screening and treating diabetic retinopathy (DR) by simulating the disease progress continuously with existing data. A new computer simulation based on Monte Carlo techniques and logistic transformation follows cohorts from diabetes onset until death in five care scenarios. For younger-onset patients, ophthalmic care reduces the prevalence of blindness by 52% or greater while savings in disability facilities and production losses surpass direct costs. For older-onset patients, less favorable results appear. Financial benefits surpass costs for juvenile-onset patients. For other patients, the net costs of ophthalmic care seem lower than in other health care programs.

Type
GENERAL ESSAYS
Copyright
© 1999 Cambridge University Press

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