TY  - JOUR
PY  - 2007//
TI  - Falls and health status in elderly women following first eye cataract surgery: an economic evaluation conducted alongside a randomised controlled trial
JO  - British journal of ophthalmology
A1  - Harwood, Rowan H.
A1  - Masud, Tahir
A1  - Osborn, Francis
A1  - Zaman, Anwar
A1  - Gregson, Richard M.
A1  - Foss, A.
A1  - Sach, Tracey H.
SP  - 1675
EP  - 1679
VL  - 91
IS  - 12
N2  - AIM: To evaluate the cost-effectiveness of first-eye cataract surgery compared to no surgery from a Health Service and Personal Social Services perspective. METHODS: An economic evaluation undertaken alongside a randomised controlled trial of first-eye cataract surgery in secondary care ophthalmology clinics. 306 women over 70 years old with bilateral cataracts were randomised to cataract surgery (expedited, approximately 4 weeks) or control (routine, 12 months wait). 75% of participants had baseline acuity of 6/12 or better. Outcomes included falls and the EuroQol EQ-5D. RESULTS: The operated group cost a mean pound2,004 (bootstrapped) more than the control group over one year (95% confidence interval pound1,363 to pound2,833, p&lt;0.001), but experienced on average 0.456 fewer falls, an incremental cost per fall prevented of pound4,390. The bootstrapped mean gain in Quality Adjusted Life Years (QALYs) per patient was 0.056 (95% confidence interval 0.006 to 0.108, p&lt;0.001). The incremental cost utility ratio was pound35,704, above the currently accepted UK threshold level of willingness to pay per QALY of pound30,000. However, in an analysis modelling costs and benefits over patients' expected lifetime, the incremental cost per QALY was pound13,172, under conservative assumptions. CONCLUSIONS: First-eye cataract surgery, whilst cost-ineffective over the trial period, was probably cost-effective over participants' remaining lifetime.     <p>Language: en</p>
LA  - en
SN  - 0007-1161
UR  - http://dx.doi.org/10.1136/bjo.2007.118687
ID  - ref1
ER  -