期刊論文
| 學年 | 112 |
|---|---|
| 學期 | 2 |
| 出版（發表）日期 | 2024-05-19 |
| 作品名稱 | Cost-effectiveness of diabetic retinopathy screening for newly diagnosed type 2 diabetic patients: a nationwide population-based propensity score-matched cohort study |
| 作品名稱（其他語言） | |
| 著者 | Yu-Chien Chung; Yi-Wei Kao; Yen-Chun Huang; Pei-En Chen; Shu-Chen Liao; Chih-Kuang Liu; Mingchih Chen |
| 單位 | |
| 出版者 | |
| 著錄名稱、卷期、頁數 | Asia-Pacific Journal of Ophthalmology 13(3), 100071 |
| 摘要 | Aims This study investigated the association between the frequency of screening for diabetic retinopathy (DR) versus the development of DR and corresponding medical expenses among patients newly diagnosed with type 2 diabetes mellitus (T2DM). Methods This longitudinal, population-based study used the Taiwan National Health Insurance Research Database (2004 to 2020) as a data source. Propensity score matching (PSM) (sex, age, comorbidities and concurrent medication use) was employed in the grouping of T2DM patients according to different frequency of DR screening. Outcome measures included the proportion of patients who developed DR, who received DR treatment, and the associated medical expenses and hospitalizations. Results The 17-year cohort included 337,046 patients. After PSM, three groups each containing 35,739 patients were assembled and analyzed. Compared to low-frequency screening, high-frequency screening was more effective in detecting patients requiring treatment; however, the net cost for treatment was significantly lower. Standard-frequency screening appears to provide the best balance in terms of DR detection, diagnosis interval, the risk of DR-related hospitalization, and DR treatment costs. Conclusions In this real-world cohort study covering all levels of the healthcare system, infrequent screening was associated with delayed diagnosis and elevated treatment costs, while a fundus screening interval of 1–2 years proved optimal in terms of detection and medical expenditures. |
| 關鍵字 | Type 2 diabetes mellitus; Newly diagnosed diabetes; Diabetic retinopathy; Screening |
| 語言 | en_US |
| ISSN | 2162-0989 |
| 期刊性質 | 國外 |
| 收錄於 | SCI |
| 產學合作 | |
| 通訊作者 | |
| 審稿制度 | 否 |
| 國別 | NLD |
| 公開徵稿 | |
| 出版型式 | ,電子版 |
| 相關連結 |
機構典藏連結 ( http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/127543 ) |