The clinical effectiveness and cost-effectiveness of screening for open angle glaucoma: a systematic review and economic evaluation
Burr JM, Mowatt G, Hernandez R, Siddiqui MAR, Cook J, Lourenco T, et al
Record ID 32007000628
English
Authors' objectives:
"The objectives of this systematic review were: to assess whether OAG screening meets the UK National Screening Committee (NSC) criteria to develop a model comparing screening strategies with case finding to estimate parameters through systematic reviews to model estimates of cost and cost-effectiveness to identify areas for future research." (from executive summary)
Authors' recommendations:
Implications for healthcare
Screening for OAG met the UK NSC criteria for condition and treatment, but not for test or screening. Population screening is not cost-effective, but targeted screening of high-risk groups may be. Measures systematically to identify those at risk and quality assure the programme would be required. Adequate service provision for those screened positive would be needed.
Glaucoma detection can be improved by increasing attendance for eye examination, and improving the performance of current testing by either refining practice or adding in a technology-based first assessment, the latter being the more cost-effective option. This has implications for any future organisational changes in community eye-care services.
Authors' methods:
Review
Details
Project Status:
Completed
URL for project:
http://www.hta.ac.uk1446
Year Published:
2007
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Cost-Benefit Analysis
- Glaucoma, Open-Angle
- Ophthalmoscopy
- Tonometry, Ocular
- Vision Screening
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:
2009 Queen's Printer and Controller of HMSO
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.