ArticleClinical ophthalmology (Auckland, N.Z.)2018
Cost analysis of vitrectomy under local versus general anesthesia in a developing country.
Article in Clinical ophthalmology (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Cost Burden and Cost-Effectiveness of Rhegmatogenous Retinal Detachment Repair: A Systematic Review of Economic Evaluations.ClinicoEconomics and outcomes research : CEOR · 2026Review
- Incidence of post vitrectomy endophthalmitis in India - A multicentric study by VRSI study Group.Eye (London, England) · 2023Article
- Analysis of Operational Efficiency and Cost Differences between Local and General Anesthesia for Vitreoretinal Surgery.Healthcare (Basel, Switzerland) · 2022Article
- The Impact of Travel Distance to Delayed Presentation and Follow-up Attendance of Retinal Detachment Cases in Surabaya, Indonesia.Juntendo Iji zasshi = Juntendo medical journal · 2022Article
- Article
- Effectiveness of the Heads-Up Surgery System for Retinal Surgery in a Patient with Severe Photophobia.International medical case reports journal · 2021Article
- Surgical Innovations in the Treatment of Diabetic Macular Edema and Diabetic Retinopathy.Current diabetes reports · 2019Review
- Effect of Local Versus General Anesthesia in Breast-Conserving Surgery on Cancer Recurrence and Cost.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo report cost reductions of vitrectomy under local anesthesia. PATIENTS AND
methodsThis was a retrospective cohort study using medical records of consecutive patients undergoing vitrectomy surgery for retinal detachment under general or local anesthesia. Data of patient's fulfilling the inclusion criteria were included in the study. The patients were divided into two groups: Group 1 (local anesthesia) and Group 2 (general anesthesia). The preoperative data were checked and validated by a peer group consisting of two ophthalmologists, two internists, and two anesthesiologists independently in a blind manner. The calculation of the cost was done using the cost minimization analysis. The cost data were obtained from the finance division of the hospital for each individual treatment. The cost data included unit cost of laboratory tests, surgery, and medications.
resultThere were 100 subjects (50 subjects in each group) assessed by peer groups and declared eligible to undergo surgery under either local or general anesthesia. Both groups were equal. The total average cost for vitreous surgery under general anesthesia for each patient was $322.17, whereas for local anesthesia it was $220.57. The mean difference was $101.60 (46.06%) saving on local anesthesia.
conclusionVitrectomy surgery under local anesthesia can reduce the cost by almost half that of general anesthesia. The present study showed that the type of anesthesia determined the ultimate cost for the surgery. Hence, surgery under local anesthesia appears affordable and cost-effective, especially in a developing country like Indonesia.
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