Evidence map›Paper›PMID 26410365›Full record

ArticleAge and ageing2015

The cost-effectiveness of second-eye cataract surgery in the UK.

Keith Cooper, Jonathan Shepherd, Geoff Frampton, Petra Harris, Andrew Lotery

Open access · bronzeAbstract read
In one paragraph

Article in Age and ageing, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Keith CooperSHTAC, University of Southampton, Southampton, Hampshire SO16 7NS, UK.
Jonathan ShepherdSHTAC, University of Southampton, Southampton, Hampshire SO16 7NS, UK.
Geoff FramptonSHTAC, University of Southampton, Southampton, Hampshire SO16 7NS, UK.
Petra HarrisSHTAC, University of Southampton, Southampton, Hampshire SO16 7NS, UK.
Andrew LoteryClinical and Experimental Sciences, University of Southampton, Southampton, Hampshire, UK.
University of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElective cataract surgery is the most commonly performed surgical procedure in developed countries. However, it is unclear whether cataract surgery on the second eye provides enough incremental benefit to be considered cost-effective. This study conducted a cost-effectiveness analysis of second-eye cataract surgery in the U.K.

designA cost-effectiveness analysis.

methodsA decision-analytical model was developed to estimate the cost-effectiveness of second-eye cataract surgery, based on a comprehensive epidemiological and economic review to develop the parameters for the model. The model followed the clinical pathway of cohorts of patients receiving second-eye cataract surgery and included costs and health benefits associated with post-surgical complications.

resultsIn the model, second-eye surgery generated 0.68 additional quality-adjusted life years (QALY) with an incremental cost-effectiveness ratio of £1,964 per QALY gained. In sensitivity analyses, model results were most sensitive to changes in the health-related quality of life (HRQoL) gain associated with second-eye surgery, but otherwise robust to changes in parameter values. The probability that second-eye surgery is cost-effective at willingness to pay thresholds of £10,000 and £20,000 was 100%.

conclusionSecond-eye cataract surgery is generally cost-effective based on the best available data and under most assumptions. However, there are only a small number of clinical trials for second-eye cataract surgery, and these have not been conducted in recent years.

Indexed as

AgedCataractCataract ExtractionCost-Benefit AnalysisCritical PathwaysHealth Care CostsHumansModels, EconomicQuality-Adjusted Life YearsQuality of LifeReoperationUnited Kingdomcataractcost-effectivenessolder peoplesecond-eye surgery

Identifiers

PMID26410365
PMCPMC4621232
OpenAlexW2179323088

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.