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. 2022 Mar 22;46:101354. doi: 10.1016/j.eclinm.2022.101354

Table 10.

Average cost estimate for treatment of AMD, corneal opacity and trachoma. Costs are in 2018 USD purchasing power parity.

Country Reference Cause Treatment Year of cost data Sample size Unit of Observation Perspective of analysis In 2018 USD ppp
Quality appraisal score
Direct costs
Productivity Losses Informal Care costs
Medical (1) Non- medical (2) Total (1) + (2)
High-income Asia Pacific
 Japan 130 AMD Anti- VEGF 2017 71 Patient Societal 778;
1512 a
7.5
 Japan 131 AMD Anti- VEGF 2013 3058 Patient Payer 14,888 b 5.5
 Korea 66 AMD Unspecified 2014 7119 Episode Payer 3354 8.5
Australasia
 Australia 132 AMD Unspecified N.R 103 Episode Patient 1943 543 2486 982 2198 8.5
Western Europe
 3 EU countries 133 AMD Unspecified 2004 360 Patient Societal 3632 1608 5240 to 7524 c 8.5
 France 134 AMD Unspecified 2000 105 Patient Payer 2934 2827 5762 1410 9
 Germany 135 AMD Unspecified N.A 150 Patient Caregiver 181 547 787 6.5
 Greece 136 AMD Anti- VEGF 2011 N.R Patient Payer 52,404 d 8.5
 Ireland 137 AMD Photodynamic
therapy
2006 211 Patient Societal 3377 536 3913 1950 1496 9
 Italy 138 AMD Laser 1999 476 Patient Societal 767 8.5
 Switzerland 64 AMD Anti- VEGF 2014 3058 Episode Payer 7747; 9424 e 5.5
 Switzerland 65 AMD Anti- VEGF 2016 361 Patient Payer 10,692;12,456 f 8
 United Kingdom 63 AMD Anti- VEGF 2011 610 Patient Health System 4824;29,871 g 9
 United Kingdom 139 AMD Photodynamic
therapy
2007 4566;
1834g
Patient Health System
and Societal
2209;7911 h 7
High Income North America
 Canada 140 AMD Photodynamic
therapy
2005 166 Patient Societal 5985 2498 8433 9
 United States 7 AMD Medical 1995–99 6290 Patient Payer 2473 years up to $2710 for those aged 75- 79 years and then decreased (80-84 years, $2556; 85 years, $ 1800)"?>i 7.5
 United States 67 AMD Anti- VEGF 2009 N.R Patient Payer 16,261;18,756 j 4
 United States 141 AMD Anti- VEGF 2009 92 Patient Payer 62,985 6.5
Central Europe
 Czech Republic 142 AMD Anti- VEGF 2012 763 Patient Hospital 9592 7.5
North Africa, Middle East
 Turkey 143 AMD Anti- VEGF 2016 175 Patient Payer 2657;5059j 6.5
 South Asia
 India 68 Corneal
Opacity
Medical 2004 498 Episode Patient 112 4 116 39 4
Western sub-Saharan Africa
 Gambia 69 Trachoma Trichiasis surgery 1998 120 Surgery Societal 9 6.5

USD – United States Dollars ($); ppp- purchasing power parity; EU – European; N.R – Not reported; N.A – Not applicable.

a

Average cost in the first year of treatment in two different regimens "as treat and extent regimen" ($778 ppp) and "as needed regimen" ($1512 ppp);

b

Cost per 10 000 persons;

c

Average cost for Italy ($5240 ppp), This study also reported cost for France (sum of direct costs $7524 ppp) and Germany (sum of direct costs $5920 ppp).

d

Average cost for 10 years of ranibizumab treatment.

e

Average cost for aflibecerpt ($7747 ppp); Average cost for ranibizumab $9424 ppp.

f

Average monthly cost for aflibecerpt $1038 ppp, average monthly cost for ranibizumab $891 ppp.

g

Lowest average reported value for discountinuous bevacizumab regimen, highest reported value for continuous ranibizumab regimen.

h

Average cost of verteporfin photodynamic therapy (PDT): second year of treatment (lowest value) and first year of treatment (highest value) (including health and social service costs).

i

Average costs for all patients; costs were stratified by age group, costs rose from $2362 for those aged 65-69 years up to $2710 for those aged 75- 79 years and then decreased (80-84 years, $2556; ≥85 years, $ 1800).

j

Average cost for ranibizumab: year 2 (lowest value) and Year 1 (highest value).