Table 2.
Parameters | Median unit cost (range) | Average number (range) | Annual mean total cost | Source |
---|---|---|---|---|
Ophthalmologist consultation | 3.2 (0.8–47.6) | 1 time per cycle | 12.8 | [32] |
Optical coherence tomography | 31.7 (23.8–39.7) | 1 time per cycle | 126.8 | [32] |
Fluorescein angiography | 58.7 (44–73.4) | 2 times per year | 234.8 | [32] |
Verteporfin per 15 mg | 2539.7 (1904.8–3174.6)# | [32] | ||
Laser activation | 238.1 (158.7–317.5) | [32] | ||
PDT (verteporfin per 15 mg + laser activation) | 2.05 (1.5375–2.5625) at 1 year | 5694.5 at 1 year | Calculated | |
1.54 (1.155–1.925) at 2 years | 4277.8 at 2 years | Calculated | ||
Intravitreal injection | 41.3 (31–51.6) | Local charge | ||
Ranibizumab per 0.5 mg | 1523.8 (1142.9–1904.8)# | 8 (6–12) at 1 year | 12190.4 at 1 year | Local charge |
6 (4.5–12) at 2 years | 9142.8 at 2 years | |||
Bevacizumab per 1.25 mg | 10.5 (7.9–13.1)# | 8 (6–12) at 1 year | 84 at 1 year | Local charge |
6 (4.5–12) at 2 years | 63 at 2 years | |||
Adverse reactions | ||||
Endophthalmitis | Local charge | |||
Ranibizumab arm | 1.4% (1.05%–1.75%) during 1 year | 22.2 | ||
Bevacizumab arm | 2.8% (2.1%–3.5%) during 1 year | 44.4 | ||
Lens damage | Local charge | |||
Ranibizumab arm | 0.4% (0.3%–0.5%) during 1 year | 6.3 | ||
Bevacizumab arm | 0.4% (0.3%–0.5%) during 1 year | 6.3 | ||
Retinal detachment | Local charge | |||
Ranibizumab arm | 0.3% (0.23%–0.38%) during 1 year | 5.7 | ||
Bevacizumab arm | 0.3% (0.23%–0.38%) during 1 year | 5.7 | ||
Comorbidities | ||||
Depression | 130.6 (111.2–156.4) | 2.2% (1.65%–2.75%) during 1 year | 3 | Local charge |
Fall | 1093.9 (364.6–1823.2) | 18% (14.50%–28.60%) during 1 year | 23 | Local charge |
Assisted living | 432.7 (324.5–540.8) | 2.1% (1.58%–2.63%) during 1 year | 77.9 | Local charge |
∗Costs are presented as US dollars (January 2015 exchange rate, US$ = CYN 6.30).
#The range was used for sensitivity analysis.