Cost Effectiveness Analysis Using Disability-Adjusted Life Years for Cataract Surgery

Thinni Nurul Rochmah, Anggun Wulandari, Maznah Dahlui, Ernawaty and Ratna Dwi Wulandari
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Thinni Nurul Rochmah: Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Anggun Wulandari: Faculty of Medicine, Universitas Lambung Mangkurat, South Kalimantan 70123, Indonesia
Maznah Dahlui: Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Ernawaty: Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Ratna Dwi Wulandari: Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia

IJERPH, 2020, vol. 17, issue 16, 1-9

Abstract: Cataracts are the second most prioritized eye disease in the world. Cataracts are an expensive treatment because surgery is the only method that can treat the disease. This study aims to analyze the cost effectiveness of each operating procedure. Specifically, phacoemulsification and Small Incision Cataract Surgery (SICS) with Disability-Adjusted Life Years (DALYs) as the effectiveness indicator is used. This study is an observational analytic study with a prospective framework. The sample size is 130 patients who have undergone phacoemulsification and 25 patients who have undergone SICS. The DALY for phacoemulsification at Day-7 (D-7) is 0.3204, and at Day-21 (D-21), it is 0.3204, while the DALY for SICS at D-7 is 0.3060, and at D-21, it is 0.3158. The incremental cost effectiveness ratio (ICER) for cataract surgery at D-7 is USD $1872.49, and at D-21, it is USD $5861.71, whereas the Indonesian Gross Domestic Product (GDP) is USD $4174.90. In conclusion, the phacoemulsification technique is more cost effective than the SICS technique. The ICER value is very cost effective at D-7 post-surgery compared to at D-21 post-surgery because the ICER is less than 1 GDP per capita per DALY.

Keywords: cataract surgery; cost effectiveness analysis; disability adjusted life years (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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