Development of a cost-effectiveness model for optimisation of the screening interval in diabetic retinopathy screening

Scanlon P H, Aldington S J, Leal J, Luengo-Fernandez R, Oke J, Sivaprasad S, Gazis A, Stratton I M
Record ID 32012000329
English
Authors' objectives: To determine whether personalised screening intervals are cost-effective.
Authors' recommendations: The study found that annual screening of all patients for STDR was not cost-effective. Screening this entire cohort every 3 years was most likely to be cost-effective. When personalised intervals are applied, screening those in our low-risk groups every 5 years was found to be cost-effective. Screening high-risk groups every 2 years further improved the cost-effectiveness of the programme. There was considerable uncertainty in the estimated incremental costs and in the incremental QALYs, particularly with regard to implications of an increasing proportion of maculopathy cases receiving intravitreal injection rather than laser treatment. Future work should focus on improving the understanding of risk, validating in further populations and investigating quality issues in imaging and assessment including the potential for automated image grading.
Details
Project Status: Completed
URL for project: http://www.nets.nihr.ac.uk/projects/hta/106601
Year Published: 2015
URL for published report: http://www.journalslibrary.nihr.ac.uk/hta/hta19740/#/abstract
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Diabetic Retinopathy
  • Mass Screening
  • Costs and Cost Analysis
Contact
Organisation Name: NIHR Health Technology Assessment programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: Queen's Printer and Controller of HMSO
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