{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:10:33Z","timestamp":1777929033458,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[1996,9,1]],"date-time":"1996-09-01T00:00:00Z","timestamp":841536000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[1996,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives and Setting<\/jats:title>\n                    <jats:p>\u2013To determine the cost effectiveness of screening for glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\u2013Information on treatment efficacy, diagnostic methods, epidemiological characteristics of glaucoma, and costs were determined from the literature, from administrative databases, and from experts. Scenarios with different screening frequency, age, participation in screening, compliance with treatment, treatment efficacy, and diagnostic tests were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\u2013The initial scenario comprised three-yearly screening of subjects aged 40\u201379 by funduscopy and tonometry, followed by perimetry when abnormalities were discovered. The assumption of levels of participation in screening and of compliance with treatment of 75%, and treatment efficacy of 50% resulted in a cost of $C100 000 per year of blindness prevented. A scenario in which screening was restricted to subjects aged 65\u201379, with the same input variables, would prevent 81% of the cases of blindness prevented with scenario 1, at a cost of $C42 000 per year of blindness prevented. Screening with tonometry only as the initial diagnostic test in subjects aged 65\u201379 would result in a cost of $C36 000 per year of blindness prevented, but would only prevent 59% of the cases prevented with scenario 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\u2013There is as yet no proof that treatment of glaucoma or of high intraocular pressure will arrest the progression of glaucoma to blindness. Even when treatment efficacy is assumed to be as high as 50%, however, the cost effectiveness of most glaucoma screening programmes considered would not be competitive.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/096914139600300309","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T23:23:17Z","timestamp":1484176997000},"page":"154-163","source":"Crossref","is-referenced-by-count":27,"title":["Cost Effectiveness of Screening for Primary Open Angle Glaucoma"],"prefix":"10.1177","volume":"3","author":[{"given":"J F","family":"Boivin","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Faculty of Medicine, McGill University, Montreal, Canada"},{"name":"Conseil d\u00e9valuation des technologies de la sant\u00e9 du Qu\u00e9bec, Montreal, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"McGregor","sequence":"additional","affiliation":[{"name":"Conseil d\u00e9valuation des technologies de la sant\u00e9 du Qu\u00e9bec, Montreal, Canada"},{"name":"Department of Medicine, Faculty of Medicine, McGill University, Montreal, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Archer","sequence":"additional","affiliation":[{"name":"Conseil d\u00e9valuation des technologies de la sant\u00e9 du Qu\u00e9bec, Montreal, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1996,9,1]]},"reference":[{"key":"bibr1-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1993.01090010100034"},{"key":"bibr2-096914139600300309","volume-title":"Primary open-angle glaucoma.","author":"Caprioli J","year":"1992"},{"key":"bibr3-096914139600300309","volume-title":"Screening for open-angle glaucoma in the elderly.","author":"Power EJ","year":"1988"},{"key":"bibr4-096914139600300309","volume-title":"The screening of primary open-angle glaucoma.","author":"Conseil d'\u00e9valuation des technologies de la sant\u00e9 du Quebec (CETS)","year":"1995"},{"key":"bibr5-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1989.01070020668025"},{"key":"bibr6-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(89)32688-1"},{"key":"bibr7-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(91)32296-6"},{"key":"bibr8-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1977.04450080084008"},{"key":"bibr9-096914139600300309","volume-title":"The nation.","author":"Statistics Canada","year":"1993"},{"key":"bibr10-096914139600300309","first-page":"396","volume-title":"General ophthalmology.","author":"Whitcher JP","year":"1995","edition":"14"},{"key":"bibr11-096914139600300309","volume-title":"Medical specialists' manual: health insurance plan.","author":"de R\u00e9gie","year":"1970"},{"key":"bibr12-096914139600300309","first-page":"463","volume":"15","author":"Moulin F","year":"1992","journal-title":"JFr Ophtalmol"},{"key":"bibr13-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(79)90241-1"},{"key":"bibr14-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199304153281507"},{"key":"bibr15-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.1978.tb05689.x"},{"key":"bibr16-096914139600300309","first-page":"51","volume-title":"The year book of ophthalmology.","author":"Wilson RP","year":"1991"},{"key":"bibr17-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1016\/0039-6257(83)90098-X"},{"key":"bibr18-096914139600300309","volume-title":"Statistiques annuelles 1992 \u2014 R\u00e9gie de I'assurance-maladie du Qu\u00e9bec.","author":"R\u00e9gie de l'assurance-maladie du Qu\u00e9bec","year":"1992"},{"key":"bibr19-096914139600300309","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199406023302208"},{"key":"bibr20-096914139600300309","volume-title":"Screening for glaucoma.","author":"Gooder P.","year":"1995"},{"key":"bibr21-096914139600300309","volume-title":"Epidemiologic research. 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