What is the cost of treatment of diabetic retinopathy by argon laser in Yaoundé?

• Published in: Journal francais d'ophtalmologie Vol. 41; no. 4; p. 357
• Main Authors: Koki, G, Epée, E, Helles, G, Bilong, Y, Dohvoma, A V, Biangoup, P, Bimbaï, S, Omgbwa Eballé, A, Bella, A L, Ebana Mvogo, C
• Format: Journal Article
• Language: English; French
• Published: France 01-04-2018
• Subjects: Absenteeism; Aged; Cameroon - epidemiology; Cost of Illness; Cross-Sectional Studies; Diabetic Retinopathy - diagnostic imaging; Diabetic Retinopathy - economics; Diabetic Retinopathy - epidemiology; Diabetic Retinopathy - surgery; Female; Fluorescein Angiography - economics; Health Care Costs - statistics & numerical data; Humans; Insurance; Laser Coagulation - economics; Lasers, Gas - therapeutic use; Male; Medically Uninsured; Middle Aged; Prospective Studies; Transportation - economics; Cost of treatment; Rétinopathie diabétique; Diabetic retinopathy; Argon Laser; Yaoundé; Laser argon; Financement de la santé
• ISSN: 1773-0597
• DOI: 10.1016/j.jfo.2017.08.011

To evaluate the total cost of treatment of diabetic retinopathy by argon laser for a patient when indicated.
Prospective cross-sectional and descriptive survey, carried out in the angiography and laser center of the Yaoundé Central Hospital from October 2014 to October 2015. All consecutive diabetic patients with retinopathy and suitable indication for argon laser treatment were included. The costs related to the initial and final fluorescein angiography, the appointment for follow-up, round-trip transportation costs from the patient's home and the cost of laser treatment were included.
Included were 43 (13 %) patients out of 330 with diabetic retinopathy. The mean age was 55.67±8.40years. There were 25 women (58.1 %) and 18 men (41.9 %) for a M/F ratio of 0.7. Unemployed patients were represented by 28 (65.1 %) versus 15 employed (34.9 %). Twenty-seven patients (62.8 %) were self-pay for all their expenses, 14 (32.6 %) were assisted by their families, and 2 (4.6 %) were insured. On average, the total expenditure was 86002±67197 f CFA per eye, corresponding to 131±102 euros with an exchange rate of 1 euro for 656 f CFA.
The cost of treatment of diabetic retinopathy by argon laser is high, mostly increased by the additional costs related to transportation in our area. The creation of satellite centers in the 10 regions of Cameroon would reduce these costs.