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. 2016 May 20;30(8):1063–1071. doi: 10.1038/eye.2016.90

Table 1. Baseline characteristics (a) and resource utilization and outcomes over 2 years (b) by country.

  France Germany Canada UK Ireland Italy The Netherlands Venezuela All Difference (P-valuea)
(a)
Baseline characteristics (effectiveness analysis set)
n 398 420 188 410 49 365 350 47 2227  
 Age, year 77.5 76.7 79.8 77.7 72.7 75.2 77.2 73.1 76.9 <0.001
 Female, % 61 60 61 60 73 58 63 60 61 0.626
 Baseline VAS 56.0 52.9 47.2 55.0 64.7 65.5 50.1 48.3 55.4 <0.001
Lesion type, %                   <0.001
  No 2 3 2 0 4 1 2 2 2  
  Classic 29 19 10 17 55 27 19 38 22  
  Classic and occult 9 16 3 4 4 15 6 6 9  
  Occult 33 49 15 25 14 34 33 17 33  
  Disciform scar 0 1 2 0 8 0 1 0 1  
  Not available 27 12 69 54 14 23 39 36 34  
 Prior disease, % 92 95 93 92 88 95 92 98 93 0.140
 Concomitant disease, % 87 90 86 95 92 93 86 74 90 <0.001
Health insurance, %                   <0.001
  Public 95 82 93 82 2 89 99 4 86  
  Private 2 17 1 1 94 0 1 53 7  
  No insurance 0 1 3 15 4 11 0 28 6  
  Not available 3 0 3 2 0 0 0 15 1  
Reimbursement type, %b                   <0.001
  Individual 2 51 2 1 0 26 3 6 15  
  National standards 44 32 92 94 96 73 96 15 69  
  Separate contract 0 6 0 0 0 0 0 0 1  
  Independently 53 3 1 1 0 1 0 4 10  
  Patient 0 0 0 0 4 0 0 23 1  
  Not available 1 7 7 3 0 0 1 51 4  
(b)
Resource allocation and outcomes in year 1 (first-year completers)
n 340 232 149 396 31 272 258 17 1695  
 Overall treatment duration, days 538.3 521.8 642.2 652.2 736.0 527.8 570.4 530.9 578.5 <0.001
 Ranibizumab injections 4.6 4.8 6.8 5.9 7.4 4.0 6.8 3.4 5.4 <0.001
 Treatment switch, % 1 14 15 1 6 10 3 41 6 0.632
 Ophthalmoscopies 3.3 7.6 6.0 8.7 0.6 1.9 1.6 1.8 4.8 <0.001
 Optical coherence tomography 5.7 2.9 2.8 9.3 6.2 3.3 4.1 2.5 5.2 <0.001
 Fluorescein angiography 1.2 1.3 0.9 0.5 1.9 2.1 0.2 0.6 1.0 <0.001
 ICGA 0.4 0.1 0 0.1 0 1.1 0 0 0.3 <0.001
 Monitoring visitsc 3.9 3.9 1.3 4.3 1.7 5.3 2.4 4.9 3.7 <0.001
 Clinic visitsc 4.9 5.1 7.7 6.2 8.1 4.2 7.1 3.8 5.8 <0.001
 Vision gainer, %d 17 17 28 30 11 13 31 25 23 <0.001
 Vision maintained, %d 65 66 76 77 71 61 71 58 70 0.001
Resource allocation and outcomes over 2 years (second-year completers)
N 240 136 107 350 18 159 163 11 1184  
 Overall treatment duration, days 620.1 628.1 729.0 692.1 855.6 651.9 672.5 635.7 667.4 <0.001
 Ranibizumab injections 7.4 7.2 12.1 9.5 15.6 6.2 10.9 4.2 8.9 <0.001
 Treatment switch, % 2 15 13 1 11 11 4 64 6 0.749
 Ophthalmoscopies 6.1 12.4 11.6 15.6 0.8 3.8 2.8 3.3 9.2 <0.001
 Optical coherence tomography 10.9 6.3 6.1 17.5 12.1 6.8 7.9 5.2 10.9 <0.001
 Fluorescein angiography 1.9 2.2 1.1 0.6 3.2 3.7 0.2 1.1 1.5 <0.001
 ICGA 0.7 0.2 0 0.1 0 2.2 0 0 0.5 <0.001
 Monitoring visitsc 7.7 7.4 3.1 9.1 2.3 10.1 4.8 10.4 7.5 <0.001
 Clinic visitsc 8.1 8.1 14.6 10.2 17.3 6.7 11.7 6.1 9.8 <0.001
 Vision gainer, %d 21 21 31 28 20 14 33 38 25 0.004
 Vision maintained, %d 64 57 62 76 67 54 75 50 67 <0.001

Abbreviations: ICGA, indocyanine green angiography; VAS, visual acuity score.

Mean unless stated.

a

P-value was derived from ANOVA test for continuous variables and χ2 test for categorical variables.

b

Individual: reimbursement granted individually for this patient and treatment occasion; national standards: reimbursement according to national standards; independently: reimbursement granted for patient independently of how often treatment was provided.

c

Monitoring (diagnostic assessments only) and clinic (scheduled treatment) visits. As this was an observational study, the actual number of treatments may differ to visits that were scheduled as clinic (treatment) visits, and the use of diagnostic tests, such as ophthalmoscopies, may have also occurred during clinic or monitoring visits, accounting for differences in numbers.

d

Vision gainer (defined as patients who gained ⩾15 letters) and vision maintained (defined as no decline in visual acuity from baseline).