BURDEN OF VISUAL IMPAIRMENT DUE TO MYOPIC CHOROIDAL NEOVASCULARISATION (MCNV) IN TURKEY
Author(s)
Sar C1, Malhan S2, Oksuz E2, Eldem B3, Unlu N4, Alp MN5, Ozmert E6, Durukan AH7, Erdal E1, Kahveci B1
1Bayer Turk Kimya San. Ltd. Sti., Istanbul, Turkey, 2Baskent University, Ankara, Turkey, 3Hacettepe University, Ankara, Turkey, 4Ankara Training & Research Hospital, Ankara, Turkey, 5Ankara Numune Training & Research Hospital, Ankara, Turkey, 6Ankara University, Faculty of Medicine, Ankara, Turkey, 7Gülhane Askeri Tıp Akademisi, Ankara, Turkey
OBJECTIVES: The study aims to determine the annual direct costs of mCNV in Turkey from the payer [Social Security Institution (SSI)] perspective. METHODS: Delphi technique was applied to determine the type and the amount of resources used including epidemiology, diagnosis, treatment of symptoms and side effects, follow-up visits, hospital admissions based on physicians clinical assessment by gathering experts in a meeting to build up consensus. Unit costs of resources used in outpatient and inpatient were obtained from official lists of SSI and total costs were calculated using the opinions of physicians on resource utilisation. Calculations were made in TRY and converted to EUR using the current currency (May 2016). RESULTS: In mCNV, intravitreal injection (IVI) with ranibizumab is used in approximately 99% of patients, with the remaining 1% receiving verteporfin photodynamic treatment (vPDT). IVI patients are admitted to the ophthalmology outpatient clinic five times during the year, whereas vPDT patients are admitted four times during the year. Ranibizumab costs €376.07, whereas IVI intervention cost is €21.16 for two administrations. Verteporfin's unit cost is €428.2 and PDT intervention cost is found as €102.63. Ophthalmology outpatient admission fee is calculated as €11.57. Cataract and retinal detachment costs were added to the total cost as complications and side effects. Mean annual follow up cost was found as €70.94. Mean service and intervention cost was calculated as €778.45. The mean cost of side effects is €1.83 on annual basis and per patient. CONCLUSIONS: In light of these components, annual mean mCNV cost per patient is found as €915.07. The number of mCNV patients on treatment are estimated as 250 and the total annual cost of mCNV for Turkey is €228,767.50. This amount is 0.0006% of expected total health expenditure of Turkey in 2016.
Conference/Value in Health Info
2016-10, ISPOR Europe 2016, Vienna, Austria
Value in Health, Vol. 19, No. 7 (November 2016)
Code
PSS28
Topic
Economic Evaluation
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies
Disease
Sensory System Disorders