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  1. Continuous computer simulation analysis of the cost-effectiveness of screening and treating diabetic retinopathy.

    Article - En anglais

    This paper analyzes the cost-effectiveness of screening and treating diabetic retinopathy (DR) by simulating the disease progress continuously with existing data.

    A new computer simulation based on Monte Carlo techniques and logistic transformation follows cohorts from diabetes onset until death in five care scenarios.

    For younger-onset patients, ophthalmic care reduces the prevalence of blindness by 52% or greater while savings in disability facilities and production losses surpass direct costs.

    For older-onset patients, less favorable results appear.

    Financial benefits surpass costs for juvenile-onset patients.

    For other patients, the net costs of ophthalmic care seem lower than in other health care programs.

    Mots-clés Pascal : Diabète insulinodépendant, Homme, Complication, Rétinopathie, Modèle simulation, Simulation ordinateur, Analyse coût efficacité, Dépistage, Traitement, Diabète non insulinodépendant, Economie santé, Etude cohorte, Etude statistique, Endocrinopathie, Immunopathologie, Maladie autoimmune, Oeil pathologie

    Mots-clés Pascal anglais : Insulin dependent diabetes, Human, Complication, Retinopathy, Simulation model, Computer simulation, Cost efficiency analysis, Medical screening, Treatment, Non insulin dependent diabetes, Health economy, Cohort study, Statistical study, Endocrinopathy, Immunopathology, Autoimmune disease, Eye disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0344532

    Code Inist : 002B21E01B. Création : 14/12/1999.