Raphael Wittenberg, Robert Anderson, Stuart Redding, Bipin Gopal, Rajeev Sadanandan, Vasudeva Iyer Sahasranamam, Simon George, Lakshmi Premnazir, Gopalakrishnan Netuveli, Jyotsna Srinath, Radha Ramakrishnan, Dolores Conroy, Sobha Sivaprasad
{"title":"喀拉拉邦公共卫生系统糖尿病视网膜病变试点筛查计划的成本和成本效益。","authors":"Raphael Wittenberg, Robert Anderson, Stuart Redding, Bipin Gopal, Rajeev Sadanandan, Vasudeva Iyer Sahasranamam, Simon George, Lakshmi Premnazir, Gopalakrishnan Netuveli, Jyotsna Srinath, Radha Ramakrishnan, Dolores Conroy, Sobha Sivaprasad","doi":"10.1038/s41433-024-03304-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Background/objectives: </strong>The Government of Kerala initiated a pilot screening programme for diabetic retinopathy in 16 Family Health Centres in Thiruvananthapuram district in 2019 in collaboration with the ORNATE India project. The evaluation of this pilot included a study of its costs and cost-effectiveness to inform decisions about extending the programme throughout Kerala.</p><p><strong>Subjects/methods: </strong>The participants comprise all 5307 people who were screened for diabetic retinopathy under the pilot programme for whom data could be collected.</p><p><strong>Results: </strong>The costs of the pilot programme are estimated at INR 11.3 million (including INR 1.9 million costs to individuals) and the benefits at 514 QALYs, slightly over one QALY per person treated. The cost per QALY was INR 22,000, which is well below India's Gross National Income per person.</p><p><strong>Conclusions: </strong>Kerala's 2019 pilot screening programme for diabetic retinopathy was highly cost-effective.</p>","PeriodicalId":12125,"journal":{"name":"Eye","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Costs and cost-effectiveness of the Kerala pilot screening programme for diabetic retinopathy in the public health system.\",\"authors\":\"Raphael Wittenberg, Robert Anderson, Stuart Redding, Bipin Gopal, Rajeev Sadanandan, Vasudeva Iyer Sahasranamam, Simon George, Lakshmi Premnazir, Gopalakrishnan Netuveli, Jyotsna Srinath, Radha Ramakrishnan, Dolores Conroy, Sobha Sivaprasad\",\"doi\":\"10.1038/s41433-024-03304-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background/objectives: </strong>The Government of Kerala initiated a pilot screening programme for diabetic retinopathy in 16 Family Health Centres in Thiruvananthapuram district in 2019 in collaboration with the ORNATE India project. The evaluation of this pilot included a study of its costs and cost-effectiveness to inform decisions about extending the programme throughout Kerala.</p><p><strong>Subjects/methods: </strong>The participants comprise all 5307 people who were screened for diabetic retinopathy under the pilot programme for whom data could be collected.</p><p><strong>Results: </strong>The costs of the pilot programme are estimated at INR 11.3 million (including INR 1.9 million costs to individuals) and the benefits at 514 QALYs, slightly over one QALY per person treated. The cost per QALY was INR 22,000, which is well below India's Gross National Income per person.</p><p><strong>Conclusions: </strong>Kerala's 2019 pilot screening programme for diabetic retinopathy was highly cost-effective.</p>\",\"PeriodicalId\":12125,\"journal\":{\"name\":\"Eye\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2024-09-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Eye\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1038/s41433-024-03304-w\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eye","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41433-024-03304-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Costs and cost-effectiveness of the Kerala pilot screening programme for diabetic retinopathy in the public health system.
Background/objectives: The Government of Kerala initiated a pilot screening programme for diabetic retinopathy in 16 Family Health Centres in Thiruvananthapuram district in 2019 in collaboration with the ORNATE India project. The evaluation of this pilot included a study of its costs and cost-effectiveness to inform decisions about extending the programme throughout Kerala.
Subjects/methods: The participants comprise all 5307 people who were screened for diabetic retinopathy under the pilot programme for whom data could be collected.
Results: The costs of the pilot programme are estimated at INR 11.3 million (including INR 1.9 million costs to individuals) and the benefits at 514 QALYs, slightly over one QALY per person treated. The cost per QALY was INR 22,000, which is well below India's Gross National Income per person.
Conclusions: Kerala's 2019 pilot screening programme for diabetic retinopathy was highly cost-effective.
期刊介绍：
Eye seeks to provide the international practising ophthalmologist with high quality articles, of academic rigour, on the latest global clinical and laboratory based research. Its core aim is to advance the science and practice of ophthalmology with the latest clinical- and scientific-based research. Whilst principally aimed at the practising clinician, the journal contains material of interest to a wider readership including optometrists, orthoptists, other health care professionals and research workers in all aspects of the field of visual science worldwide. Eye is the official journal of The Royal College of Ophthalmologists.
Eye encourages the submission of original articles covering all aspects of ophthalmology including: external eye disease; oculo-plastic surgery; orbital and lacrimal disease; ocular surface and corneal disorders; paediatric ophthalmology and strabismus; glaucoma; medical and surgical retina; neuro-ophthalmology; cataract and refractive surgery; ocular oncology; ophthalmic pathology; ophthalmic genetics.
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