Matches in SemOpenAlex for { <https://semopenalex.org/work/W2080254891> ?p ?o ?g. }
- W2080254891 endingPage "47" @default.
- W2080254891 startingPage "1" @default.
- W2080254891 abstract "Glaucoma is a progressive optic neuropathy associated with neural rim loss of the optic disc and the retinal nerve fibre layer typically causing visual field (VF) deterioration. Generally, glaucomatous lesions in the eye and in the visual field progress slowly over the years. In population-based cross-sectional studies, the percentage of unilateral or bilateral visual impairment varied between 3-12%. In screening studies, 0.03-2.4% of patients have been found to suffer visual impairment. Glaucoma has previously been associated with substantial healthcare costs and resource consumption attributable to the treatment of the disease. The disease also causes reduction in health-related quality of life (HRQoL) in patients with glaucoma.This study compares patients with diagnosed open-angle glaucoma from two geographically different regions in Finland. A total of 168 patients were examined, 85 subjects from an area with higher per patient treatment costs (Oulu) and 83 patients from a region with lower per patient treatment costs (Turku). All patients had a history of continuous glaucoma medication use for a period of 11 years. For each patient, the total direct costs from glaucoma treatment were calculated and the total amount of resource consumption was determined from registries and patient records. Each patient underwent a clinical examination with visual field assessment and fundus photography. These data were used to determine the current stage of disease for each patient. Health-related quality of life questionnaire (15D) was used in determining each patient's subjective HRQoL score.When applying the current diagnostic criteria for open-angle glaucoma, a total of 40% of patients did not to display any structural or functional damage suggesting glaucoma after 11 years of continuous medical treatment and follow-up. Patients with higher glaucoma stage (worse disease) were found to have statistically higher treatment costs compared with those at lower disease stages. Resource consumption was also greater in the patients in higher glaucoma stage. Patients in the Oulu district consumed more resources, and glaucoma treatment was more expensive than in the Turku area. The total treatment cost in Oulu and Turku was 6010 € and 4452 €, respectively, for the whole 11-year period. There was no statistically significant difference in quality-of-life scores between the two areas. No difference was noted between the higher-spending and lower-spending areas in this respect. However, when the population was analysed as a whole, patients with higher glaucoma stage were found to have lower vision-based 15D scores compared with those at lower disease stages. This observation was made also at both districts independently.Major cost source in open-angle glaucoma treatment is medication, up to 74% of annual costs. In addition, it seems that higher resource consumption and higher treatment costs do not increase the patients' HRQoL as assessed by the 15D instrument." @default.
- W2080254891 created "2016-06-24" @default.
- W2080254891 creator A5063534269 @default.
- W2080254891 date "2013-04-26" @default.
- W2080254891 modified "2023-10-06" @default.
- W2080254891 title "Comparison of Resource Utilization in the Treatment of Open-Angle Glaucoma between Two Cities in Finland: Is More Better?" @default.
- W2080254891 cites W101328159 @default.
- W2080254891 cites W101938375 @default.
- W2080254891 cites W108184736 @default.
- W2080254891 cites W114030700 @default.
- W2080254891 cites W120043391 @default.
- W2080254891 cites W1514577496 @default.
- W2080254891 cites W1515419860 @default.
- W2080254891 cites W1535983901 @default.
- W2080254891 cites W1537421131 @default.
- W2080254891 cites W1565684682 @default.
- W2080254891 cites W1573072429 @default.
- W2080254891 cites W1578617841 @default.
- W2080254891 cites W1628705481 @default.
- W2080254891 cites W1844180523 @default.
- W2080254891 cites W1893258488 @default.
- W2080254891 cites W1907435754 @default.
- W2080254891 cites W1918747501 @default.
- W2080254891 cites W1935760446 @default.
- W2080254891 cites W1963492540 @default.
- W2080254891 cites W1963650379 @default.
- W2080254891 cites W1964001129 @default.
- W2080254891 cites W1964998976 @default.
- W2080254891 cites W1967978506 @default.
- W2080254891 cites W1968169793 @default.
- W2080254891 cites W1968294179 @default.
- W2080254891 cites W1968916432 @default.
- W2080254891 cites W1969468342 @default.
- W2080254891 cites W1969520128 @default.
- W2080254891 cites W1969556833 @default.
- W2080254891 cites W1971179051 @default.
- W2080254891 cites W1972443523 @default.
- W2080254891 cites W1972997098 @default.
- W2080254891 cites W1973503527 @default.
- W2080254891 cites W1974383028 @default.
- W2080254891 cites W1975285483 @default.
- W2080254891 cites W1976253654 @default.
- W2080254891 cites W1976815292 @default.
- W2080254891 cites W1978198864 @default.
- W2080254891 cites W1979460965 @default.
- W2080254891 cites W1979469671 @default.
- W2080254891 cites W1979846948 @default.
- W2080254891 cites W1980103124 @default.
- W2080254891 cites W1980889313 @default.
- W2080254891 cites W1981070465 @default.
- W2080254891 cites W1983880505 @default.
- W2080254891 cites W1985460429 @default.
- W2080254891 cites W1985574096 @default.
- W2080254891 cites W1988209628 @default.
- W2080254891 cites W1988719910 @default.
- W2080254891 cites W1989399186 @default.
- W2080254891 cites W1989529326 @default.
- W2080254891 cites W1990245848 @default.
- W2080254891 cites W1990813618 @default.
- W2080254891 cites W1991133735 @default.
- W2080254891 cites W1991361773 @default.
- W2080254891 cites W1992417415 @default.
- W2080254891 cites W1992761703 @default.
- W2080254891 cites W1993271689 @default.
- W2080254891 cites W1994117740 @default.
- W2080254891 cites W1994946400 @default.
- W2080254891 cites W1995312072 @default.
- W2080254891 cites W1996742056 @default.
- W2080254891 cites W1997778992 @default.
- W2080254891 cites W1998624494 @default.
- W2080254891 cites W1998691688 @default.
- W2080254891 cites W1999330570 @default.
- W2080254891 cites W2001298073 @default.
- W2080254891 cites W2001696496 @default.
- W2080254891 cites W2001985437 @default.
- W2080254891 cites W2002202844 @default.
- W2080254891 cites W2004075829 @default.
- W2080254891 cites W2004076780 @default.
- W2080254891 cites W2005157386 @default.
- W2080254891 cites W2005787002 @default.
- W2080254891 cites W2005934068 @default.
- W2080254891 cites W2007789218 @default.
- W2080254891 cites W2007818026 @default.
- W2080254891 cites W2008785553 @default.
- W2080254891 cites W2008911442 @default.
- W2080254891 cites W2010195530 @default.
- W2080254891 cites W2010284336 @default.
- W2080254891 cites W2010577569 @default.
- W2080254891 cites W2010757131 @default.
- W2080254891 cites W2011646823 @default.
- W2080254891 cites W2014038230 @default.
- W2080254891 cites W2014529379 @default.
- W2080254891 cites W2015706265 @default.
- W2080254891 cites W2017351324 @default.
- W2080254891 cites W2018021100 @default.
- W2080254891 cites W2018859733 @default.
- W2080254891 cites W2019350253 @default.
- W2080254891 cites W2019520073 @default.