Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

COST EFFECTIVENESS ANALYSIS OF DAYCARE CATARACT SURGERY IN UMMC

Author

Tan S. H. 1 , Shubash S. G. 1 , Roddy Teo 1 , Cassidy D. 1 , Dahlui M. 1 , Ramli N. 2

Institution

1 Department of Social and Preventive Medicine, University Malaya
2 Department of Ophthalmology, University Malaya Medical Centre

Abstract

Objectives: To determine the cost and cost effectiveness of daycare cataract surgery in University Malaya Medical Centre (UMMC), comparing between extra-capsular cataract extraction (ECCE) and phacoemulsification. The study also aimed to determine the success rate and rate of complications arising from daycare cataract surgery.

Methods: Patient information was extracted from medical records of patients who attended daycare cataract surgery between 1st January and 30th June 2011. Cost per surgery was derived from capital cost, overhead cost, staff cost and cost of consumables. Cost effectiveness was calculated as cost per successful cataract surgery, defined as post-operative visual acuity of 6/12 or better at clinic discharge.

Results: 257 patients were eligible for study. Success rate was better in patients undergoing phaco (86.0%) compared to ECCE (55.6%). Phaco procedure also reported a lower complication rate (5.1%) compared to ECCE (14.8%). Daycare phaco surgery costs RM 1688 and ECCE costs RM 1072. The main difference was due to higher cost of equipment used for phaco. However, cost effectiveness analysis revealed that the cost per successful phaco was RM 1981 (RM 1963 – RM 1999) and cost per successful ECCE was RM 1992 (RM 1914 – RM 2070).

Conclusion: The cost effectiveness ratio of both phaco and ECCE in this study was of no significant difference. Quality of life measurement would be a better outcome to show difference in cost effectiveness.