[Microinvasive surgical (MIGS) devices and procedures for the treatment of moderate to severe glaucoma]
Desy F, Magron A, Corbin D
Record ID 32018014432
French
Original Title:
Dispositifs et procédures de chirurgies micro-invasives (CMIG) pour le traitement du glaucome de gravité modérée à sévère
Authors' objectives:
The Institut national d'excellence en santé et en services sociaux (INESSS) was
mandated by the Ministère de la Santé et des Services sociaux (MSSS) with providing an
overview of microinvasive surgical (MIGS) devices used in the treatment of moderate to
severe glaucoma and available on the Quebec market.
Authors' results and conclusions:
RESULTS (#1 CONSIDERATIONS FOR MIGS IN QUEBEC): Findings from the consultations suggest that patient access to the various types of
MIGSs is influenced by 2 factors: the level of clinicians' technical skills required for each
of the procedures, and the budgetary allocation decisions made by each institution. This
has led to disparities in access to the various MIGSs across Quebec, particularly outside
university-affiliated centers. (#2 ECONOMIC CONSIDERATIONS): Studies examining the challenges of economic evaluation highlight the importance of
adopting a standardized approach that accounts for the patient's entire care trajectory,
including follow-up, reinterventions and long-term outcomes. For the public payer, the
main economic incentive would remain the containment of rising costs associated with
advanced stages of glaucoma, further complicated by the disease’s asymptomatic nature
and frequent late diagnosis. CONCLUSION: To offer the most appropriate intervention from the expanding range of MIGS options,
clinicians must consider several factors, including their technical expertise, upfront costs,
follow-up requirements, potential re-interventions, and long-term outcomes. Other factors
may also influence decision-making, for instance, the availability of MIGS devices may
vary across the province, depending on decisions made by each institution.
Authors' methods:
The methodology comprises a rapid review of the scientific and grey literature, as well as
consultations with Quebec clinicians. Efficacy and safety outcomes for each device are
presented in narrative form. Relevant information drawn from practice guidelines,
technology assessment frameworks and other guidance documents is also presented.
Details
Project Status:
Completed
Year Published:
2025
URL for published report:
https://www.inesss.qc.ca/publications/repertoire-des-publications/publication/dispositifs-et-procedures-de-chirurgies-micro-invasives-cmig-pour-le-traitement-du-glaucome-de-gravite-moderee-a-severe.html
English language abstract:
An English language summary is available
Publication Type:
Other
Country:
Canada
Province:
Quebec
MeSH Terms
- Glaucoma
- Glaucoma Drainage Implants
- Intraocular Pressure
- Minimally Invasive Surgical Procedures
Contact
Organisation Name:
Institut national d'excellence en sante et en services sociaux
Contact Address:
L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name:
demande@inesss.qc.ca
Contact Email:
demande@inesss.qc.ca
Copyright:
L'Institut national d'excellence en sante et en services sociaux (INESSS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.