Skip to Main Content
 

Global Search Box

 
 
 
 

Files

File List


case1310392929.pdf (236.42 KB)

ETD Abstract Container

Abstract Header

Cost Effectiveness of Screening for Diabetic Retinopathy In A Primary Care Setting Using Non-Dilated Direct Ophthalmoscopy

MacKenzie, Robert A.
http://rave.ohiolink.edu/etdc/view?acc_num=case1310392929

Abstract Details

2011, Master of Sciences, Case Western Reserve University, Epidemiology and Biostatistics.
Diabetic retinopathy (DR) is the most common cause of irreversible blindness among individuals with diabetes mellitus. While early detection and treatment can halt or retard progression of disease in 50% to 90% of cases, only 50% of patients comply with recommended screening protocols. Low compliance rates may be due to the invasiveness of procedures, access to specialized care (e.g., ophthalmologists), and overall cost of screening methods. New technology has allowed for the development of non-dilated, direct ophthalmoscopy tools that provide more accurate and less invasive screening. Thus, the purpose of this study was to determine the cost effectiveness of screening for DR by comparing the current gold standard method, a dilated fundus examination conducted by an ophthalmologist, to the innovative and less invasive non-dilated direct ophthalmolscopy conducted by a non-ophthalmic physician. Results indicated that the non-dilated direct ophthalmoscopy exam, conducted by a non-ophthalmic physician, was more cost effective.
E.L Mendel Singer (Advisor)
Duncan Neuhauser (Advisor)
Suber Huang, MD (Advisor)
Biostatistics; Economics; Epidemiology; Health Care; Ophthalmology; Public Health
Cost Effectiveness; Clinical Decision Modeling

Recommended Citations

Citations

  • MacKenzie, R. A. (2011). Cost Effectiveness of Screening for Diabetic Retinopathy In A Primary Care Setting Using Non-Dilated Direct Ophthalmoscopy [Master's thesis, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1310392929

    APA Style (7th edition)

  • MacKenzie, Robert. Cost Effectiveness of Screening for Diabetic Retinopathy In A Primary Care Setting Using Non-Dilated Direct Ophthalmoscopy. 2011. Case Western Reserve University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1310392929.

    MLA Style (8th edition)

  • MacKenzie, Robert. "Cost Effectiveness of Screening for Diabetic Retinopathy In A Primary Care Setting Using Non-Dilated Direct Ophthalmoscopy." Master's thesis, Case Western Reserve University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1310392929

    Chicago Manual of Style (17th edition)

case1310392929
391
© 2011, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.