The economic burden of major adult visual disorders in the United States

David B. Rein, Ping Zhang, Kathleen E. Wirth, Paul P. Lee, Thomas J. Hoerger, Nancy McCall, Ronald Klein, James M. Tielsch, Sandeep Vijan, Jinan Saaddine

Research output: Contribution to journalArticle

Abstract

Objective: To estimate the societal economic burden and the governmental budgetary impact of the following visual disorders among US adults aged 40 years and older: visual impairment, blindness, refractive error, age-related macular degeneration, cataracts, diabetic retinopathy, and primary open-angle glaucoma. Design: We estimated 3 components of economic burden: direct medical costs, other direct costs, and productivity losses. We used private insurance and Medicare claims data to estimate direct medical costs; epidemiologic evidence from multiple published sources to estimate other direct costs, such as nursing home costs; and data from the Survey of Income and Program Participation to estimate productivity losses. We used budgetary documents and our direct medical and other direct cost estimates to approximate the governmental budgetary impact. Results: We estimated that the annual total financial burden of major adult visual disorders is $35.4 billion ($16.2 billion in direct medical costs, $11.1 billion in other direct costs, and $8 billion in productivity losses) and that the annual governmental budgetary impact is $13.7 billion. Conclusions: Major visual disorders among Americans older than 40 years result in substantial economic costs for the US economy. Well-designed public health programs may have the ability to reduce this burden in the future.

Original languageEnglish (US)
Pages (from-to)1754-1760
Number of pages7
JournalArchives of Ophthalmology
Volume124
Issue number12
DOIs
StatePublished - Dec 2006

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Vision Disorders
Economics
Costs and Cost Analysis
Refractive Errors
Macular Degeneration
Diabetic Retinopathy
Blindness
Medicare
Nursing Homes
Insurance
Cataract
Public Health

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Rein, D. B., Zhang, P., Wirth, K. E., Lee, P. P., Hoerger, T. J., McCall, N., ... Saaddine, J. (2006). The economic burden of major adult visual disorders in the United States. Archives of Ophthalmology, 124(12), 1754-1760. https://doi.org/10.1001/archopht.124.12.1754

The economic burden of major adult visual disorders in the United States. / Rein, David B.; Zhang, Ping; Wirth, Kathleen E.; Lee, Paul P.; Hoerger, Thomas J.; McCall, Nancy; Klein, Ronald; Tielsch, James M.; Vijan, Sandeep; Saaddine, Jinan.

In: Archives of Ophthalmology, Vol. 124, No. 12, 12.2006, p. 1754-1760.

Research output: Contribution to journalArticle

Rein, DB, Zhang, P, Wirth, KE, Lee, PP, Hoerger, TJ, McCall, N, Klein, R, Tielsch, JM, Vijan, S & Saaddine, J 2006, 'The economic burden of major adult visual disorders in the United States', Archives of Ophthalmology, vol. 124, no. 12, pp. 1754-1760. https://doi.org/10.1001/archopht.124.12.1754
Rein DB, Zhang P, Wirth KE, Lee PP, Hoerger TJ, McCall N et al. The economic burden of major adult visual disorders in the United States. Archives of Ophthalmology. 2006 Dec;124(12):1754-1760. https://doi.org/10.1001/archopht.124.12.1754
Rein, David B. ; Zhang, Ping ; Wirth, Kathleen E. ; Lee, Paul P. ; Hoerger, Thomas J. ; McCall, Nancy ; Klein, Ronald ; Tielsch, James M. ; Vijan, Sandeep ; Saaddine, Jinan. / The economic burden of major adult visual disorders in the United States. In: Archives of Ophthalmology. 2006 ; Vol. 124, No. 12. pp. 1754-1760.
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