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Open Access 01-02-2018 | Original Article

German claims data analysis to assess impact of different intraocular lenses on posterior capsule opacification and related healthcare costs

Authors: Nils Kossack, Christian Schindler, Ines Weinhold, Lennart Hickstein, Moritz Lehne, Jochen Walker, Aljoscha S. Neubauer, Dennis Häckl

Published in: Journal of Public Health | Issue 1/2018

Abstract

Aim

Cataract extraction is one of the most frequent surgeries in Germany. In most cases, the clouded natural lens is replaced by a hydrophobic or hydrophilic acrylic intraocular lens (IOL) implant. The most common long-term complication after cataract surgery is the development of a posterior capsule opacification (PCO). Although no precise real world data are available, published evidence suggests a lower risk for PCO development for hydrophobic acrylic IOLs compared to hydrophilic acrylic IOLs. Therefore, in the present study we assessed real world data on the impact of different IOL material types on the incidence of post-operative PCO treatment.

Subject and methods

In this retrospective study, we included 3,025 patients who underwent cataract extraction and implantation of either an acrylic hydrophobic or hydrophilic IOL in 2010. We assessed clinical outcomes and direct costs in a 4-year follow-up period after cataract surgery from a statutory health insurance (SHI) perspective in Germany.

Results

PCO that required capsulotomies occurred significantly (p < 0.0001) less frequent in patients who had received a hydrophobic IOL (31.57% of 2,078 patients) compared to the group with hydrophilic IOL implants (56.6% of 947 patients) and costs per patient for postoperative treatment in a 4-year follow-up were 50.03 € vs. 87.81 € (i.e. 75% higher in the latter group, p < 0.0001).

Conclusion

Considering the high prevalence of cataract, the economic burden associated with adverse effects of cataract extraction is of great relevance for the German SHI. Hydrophobic lenses seem to be superior regarding both medical and economic results.

Up to 9 years after surgery

The Bonferroni correction is based on the idea that local significance levels for each of the independent hypothesis tests can be divided by the total number of hypotheses in order to test a global significance level.

laser-surgical intervention of category W1

EBM 06210, 06211, 06212 (12.87 € to 15.60 €)

Due to the 2.6% longer follow-up time of the contralateral IOL implantation for population A (1.57 year vs. 1.53 year)

Assuming the costs increase in an equal proportion

5% discount rate

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Title: German claims data analysis to assess impact of different intraocular lenses on posterior capsule opacification and related healthcare costs
Authors: Nils Kossack
Christian Schindler
Ines Weinhold
Lennart Hickstein
Moritz Lehne
Jochen Walker
Aljoscha S. Neubauer
Dennis Häckl
Publication date: 01-02-2018
Publisher: Springer Berlin Heidelberg
Published in: Journal of Public Health / Issue 1/2018
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-017-0851-y

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German claims data analysis to assess impact of different intraocular lenses on posterior capsule opacification and related healthcare costs

Abstract

Aim

Subject and methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Aim

Subject and methods

Results

Conclusion

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