Code : 9822-350312      Created Date : Tuesday, September 15, 2015   Update Date : Tuesday, September 15, 2015    Visit : 2500

30th Asia-Pacific Academy of Ophthalmology Congress APAO

The report of 30th Asia-Pacific Academy of Ophthalmology Congress APAO by Cyrus Alinia
 
Application Code :
306-0115-0065
 
Created Date : Saturday, March 28, 2015 13:20:11Update Date : Saturday, September 5, 2015 10:48:48
IP Address : 194.225.214.2Submit Date : Saturday, September 5, 2015 10:48:55Email : siros_alinia@yahoo.com
Personal Information
Name : Cyrus
Surname : Alinia
School/Research center : School of Public Health
If you choose other, please name your Research center :  
Position : student
Tel : +98-21-55418899
Information of Congress
Title of the Congress : 30th Asia-Pacific Academy of Ophthalmology Congress APAO
Title of your Abstract : Lifetime Economic Burden of Refractive Errors by Correction Methods; Iranian Patients’ Perspective
Country : China (People's Republic of China)
From : Monday, March 30, 2015
To : Monday, April 6, 2015
Abstract(Please copy/paste the abstract send to the congress) : Purpose
To estimate and compare incurred cost of refractive errors by corrective methods: spectacles, contact lenses and Keratorefractive surgery


Methods
A consecutive sample of 52 subjects who had Keratorefractive surgery more than 18 months ago in Farabi Eye Hospital is taken. An expert on health economics conducted a structured interview on cost considering direct and indirect estimates by bottom-up and human capital approaches, respectively. Intangible costs are not included. 4 standard treatment scenarios of spectacles (SC), contact lenses (CL), combination (SCL) and refractive surgeries (RS) are assessed. 5% discount rate and 73 years life expectancy at birth were assumed. One-year and lifetime horizon in cost analysis were considered. In order to determine the uncertainty magnitude for deterministic and probabilistic estimations, one-way with scenario sensitivity analysis and Monte Carlo simulation with 5000 iterations were used, respectively and a 95% confidence interval was calculated.

Results
Given the 6% unmet need, deterministic (and probabilistic) expected annual cost of SC, CL, SCL and RS is estimated at 12449.6 (11735.2), 3063 (3218.1), 11856.5 (12488.4) and124 (118.7) USD, respectively.92% or more of total cost in all scenarios was related to indirect cost especially patient and caregiver opportunity cost. Our observation revealed that the estimations for RS are more sensitive to inflation, discount rate and lost time cost.

Conclusions
According to a patient perspective economic assessment, refractive surgery is highly cost-saving as compared with conventional non-surgical methods of refractive error corrections. The most costly and the least costly conventional choices then would be: SC+CL and SC+RS in one’s life course, respectively. From a health economics perspective, one may infer that refractive surgery should be considered as soon as medically and legally possible.
Keywords of your Abstract : Economic Burden, Refractive Error, Iran, Policy making, Sensitivity analysis
Acceptance Letter : http://gsia.tums.ac.ir/images/UserFiles/24292/Forms/306/Acceptance_Letter.pdf
The presentation : Oral
The Cover of Abstract book : http://gsia.tums.ac.ir/images/UserFiles/24292/Forms/306/index.pdf
Published abstract in the abstract book with the related code : http://gsia.tums.ac.ir/images/UserFiles/24292/Forms/306/شرکت_در_کنگره.pdf
Where has your abstract been indexed? : Pubmed
If you choose other, please name :  
The Congress Reporting Form
How many volunteers were present at the Congress? : by invitation letter and presenting poster and lecture
Delegates from which countries presented in the congress? : China, South Korea, Japan, India, Pakistan and etc.
Were the delegates of any other organizations present in the congress? : Yes
If yes, please write the names of the organizations in the box :  
What were the responses to your talking points? Were specific questions or concerns raised? : The most questions were about the lower prevalence rate of refractive errors in Iran compared with Eastern Asian countries.
If you met staff members, please list their full names & positions. : yes, Choun-ki joo, south korea
Please inform us if there are any follow up actions we need to talk with the members of the congress : Dr. Seyed Farzad Mohammadi:
Associate professor , eye research center- farabi eye hospital -tehran university of medical sciences.
Lecture topic: Is Screening for Glaucoma Necessary? A Policy Guide and Analysis

Elham Ashrafi:
Research Expert at eye research center- Farabi eye hospital -Tehran University of Medical Sciences.

Lecture Topic: Distribution of Ophthalmologists and Optometrists at National and Provincial Levels in Iran
Your experiences about the travel processes(Providing ticket, accommodation,...) : I with my colleagues payed travel expenses such as ticket booking, accommodation and congress participation personally.
Please give a briefing of your own observations and outcomes of the congress: : the congress was very academic and useful about all of the ophthalmology subject specially in surgery and medical retina fore me.
I as a Ph.D. student benefited in many ways: 
- Familiarity with International Congress
- Familiarity with international figures in the field of ophthalmology.
- Motivation for conducting more edge of sciences studies
- Presentation and share the results of our studies in Iran
in this congress we showed the economic burden of refractive error by their existing corrections included Spectacle, Contact lenses and Refractive Surgery such as Lazik and PRK. the final conclusion of our study was as following comments:
According to a patient perspective economic assessment, refractive surgery is highly cost-saving as compared with conventional non-surgical methods of refractive error corrections. The most costly and the least costly conventional choices then would be: SC+CL and SC+RS in one’s life course, respectively. From a health economics perspective, one may infer that refractive surgery should be considered as soon as medically and legally possible. 

 

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