Table 1 Model inputs
Variable | Values | Source |
|---|---|---|
Hospital-level model | ||
Price of cataract surgery | 432.56 EUR | Average price of B19G DRG in 2018 |
Price of Nd:YAG | 65.12 EUR | Average price of Z58 APG in 2018 |
Cost of hospitalization (per patient) | 152.60 EUR | Average values for cataract treatment in 19 hospitals |
Cost of diagnostic procedures (per patient) | 9.65 EUR | Average values for cataract treatment in 19 hospitals |
Cost of cataract surgical procedure (health care personnel performing surgery + operating theatre) | 87.95 EUR | Average values for cataract treatment in 19 hospitals |
Cost of medical materials used for cataract treatment (excluding lenses) | 137.34 EUR | Average values for cataract treatment in 19 hospitals |
Cost of a hydrophilic acrylic lens | 45.51 EUR | Average value taken from tender data in Poland (2018) |
Cost of a hydrophobic acrylic lens | 64.77 EUR | Average value taken from tender data in Poland (2018) |
Duration of Nd:YAG | 30 min | Expert clinical knowledge |
Wage of an ophthalmologist (per hour) | 16.77 EUR | Average values for ophthalmology department in 19 hospitals |
Wage of a nurse (per hour) | 7.20 EUR | Average values for ophthalmology department in 19 hospitals |
Price of Nd:YAG laser | 100,000 EUR | Average value taken from tender data in Poland (2018) |
Medical materials for Nd:YAG | 5.97 EUR | Average values for ophthalmology department in 19 hospitals |
Mark-up of indirect costs for Nd:YAG | 20% | Own estimation, expert knowledge on cost structure of ophthalmology departments |
Total life-cycle of Nd:YAG laser | 5 years | National tax office estimates (CIT act) |
Average annual number of Nd:YAG procedures (per clinic) | 137 | Own calculation based on number of clinics and NHF data on number of Nd:YAG procedures |
National-level healthcare cost model | ||
Number of cataract surgeries | 313 822 | NHF data (2018) |
Price of cataract surgery | 432.56 EUR | Average price of B19G DRG in 2018 |
Expected rate of complications | Depending on lens structure and time horizon | Systematic literature search |
Number of Nd:YAG procedures | Depending on lens structure and time horizon | Number of cataract surgeries x expected rate of complications |
Price of Nd:YAG | 65.12 EUR | Average price of Z58 APG in 2018 |
Price of medical consultation | 9.30 EUR | Average price of W01 APG in 2018 |
Price of diclofenac (per bottle) | 4.04 EUR | Official drug price lists |