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A comparison of resource use and costs of caring for patients with exfoliation syndrome glaucoma vs primary open-angle glaucoma

American Journal of Ophthalmology Apr 04, 2019

Rathi S, et al. - Authors quantified 192 eligible enrollees with median age 77.6 years and newly diagnosed exfoliation glaucoma (XFG) and 7339 enrollees of median age 77.3 years with newly diagnosed primary open-angle glaucoma (POAG) to delineate the variations in resource utilization and cost of managing enrollees with XFG vs POAG. They noted that cases with XFG had more office visits (mean, 9.1 vs 7.9), cataract surgery (34.9% vs 19.0%), and glaucoma surgery (28.7% vs 19.7%). Over 2 years of follow-up, they also recorded a 27% higher mean total eye care costs ($3260 vs $2562) among XFG cases. They also noted that individuals with XFG had more office visits (mean 9.3 vs 7.3), perimetry (85.3% vs 79.8%), cataract surgery (23.4% vs 12.3%), laser trabeculoplasty (18.6% vs 9.6%), and trabeculectomy (8.1 vs 1.8%) as well as experienced 37% higher total mean eye care costs ($3764 vs $2739) among 2745 enrollees (median age 80.5 years) with preexisting XFG and 89,036 subjects (median age 79.5) with preexisting POAG.
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