Table 1.
Variable | Base Case Estimate (95% CI) | Source |
---|---|---|
Probability of diagnosed glaucoma | 0.5 | Tielsch et al,4 Rudnicka et al5 |
Initial probability of having glaucoma | ||
50–59 y | 0.027–0.049 | Quigley and Vitale18 |
Annual probability of developing glaucoma | ||
50–59 y | 0.002–0.003 | Quigley and Vitale18 |
60–69 y | 0.003–0.005 | Quigley and Vitale18 |
70–79 y | 0.005–0.006 | Quigley and Vitale18 |
≥80 y | 0.006–0.01 | Quigley and Vitale18 |
Annual probability of progressing to visual impairment | ||
50–59 y | 0.007 | Congdon et al17 |
60–69 y | 0.01 | Congdon et al17 |
70–79 y | 0.01 | Congdon et al17 |
≥80 y | 0.01 | Congdon et al17 |
Annual probability of progressing to blindness | ||
50–59 y | 0.35 | Sommer et al6 |
60–69 y | 0.20 | Sommer et al6 |
70–79 y | 0.02 | Sommer et al6 |
≥80 y | 0.02 | Sommer et al6 |
Hazard ratio for progression with treatment | ||
Development of visual impairmenta | 0.65 (0.49–0.87) | Maier et al3 |
Development of blindnessb | 0.65 (0.49–0.87) | Maier et al3 |
FDT screening test characteristics | ||
Sensitivity | 0.92 (0.65–0.99) | Burr et al19 |
Specificity | 0.94 (0.73–0.97) | Burr et al19 |
Screening cost,$ | ||
FDT visual field testing | 73 (110)c | Medicare fee schedule20 |
Eye examination | 127 (190)c | Medicare fee schedule20 |
Abbreviation: FDT, frequency-doubling technology.
Hazard ratio for patients with glaucoma and no visual impairment.
Hazard ratio for patients with glaucoma and visual impairment.
For both the cost of FDT visual field testing and the cost of an eye examination, the base case was fixed (eg, $73) and then we used a higher estimate (eg, $110) for the sensitivity analysis.