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Journal article

Costs and cost-effectiveness of the Kerala pilot screening programme for diabetic retinopathy in the public health system

Abstract:

Background/objectives: The Government of Kerala initiated a pilot screening programme for diabetic retinopathy in 16 Family Health Centres in Thiruvananthapuram district in 2019 in collaboration with the ORNATE India project. The evaluation of this pilot included a study of its costs and cost-effectiveness to inform decisions about extending the programme throughout Kerala.


Subjects/methods: The participants comprise all 5307 people who were screened for diabetic retinopathy under the pilot programme for whom data could be collected.


Results: The costs of the pilot programme are estimated at INR 11.3 million (including INR 1.9 million costs to individuals) and the benefits at 514 QALYs, slightly over one QALY per person treated. The cost per QALY was INR 22,000, which is well below India’s Gross National Income per person.


Conclusions: Kerala’s 2019 pilot screening programme for diabetic retinopathy was highly cost-effective.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41433-024-03304-w

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0003-3096-2721
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0001-5974-4395


More from this funder
Funder identifier:
https://ror.org/0187kwz08


Publisher:
Springer
Journal:
Eye More from this journal
Volume:
38
Issue:
17
Pages:
3352–3356
Place of publication:
England
Publication date:
2024-09-03
Acceptance date:
2024-08-12
DOI:
EISSN:
1476-5454
ISSN:
0950-222X
Pmid:
39227383


Language:
English
Keywords:
Pubs id:
2025413
Local pid:
pubs:2025413
Deposit date:
2024-09-13

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