Inherited retinal diseases (IRDs) can lead to progressive vision loss, particularly affecting children and young individuals. Emerging genetic therapies aim to prevent blindness in these patients, but there is currently no research on the cost-effectiveness of ocular genomic testing in Australia.
This Luminesce Alliance project sought to address this gap in economic evidence, aiming to support the integration of genomic medicine into the Australian healthcare system for individuals with blinding retinal diseases.
Through the use of a microsimulation model, the research teams estimated the lifetime cost of living with an inherited eye disease in Australia at $5.2 million per person. Importantly, a significant portion of this financial burden falls on affected individuals and their families, with societal costs (including government support and lost income) accounting for 87% of all costs, while healthcare expenses constitute only 13%
The findings have been published in The Medical Journal of Australia, thanks to the work of teams from Sydney Children’s Hospitals Network, Children’s Medical Research Institute, Save Sight Institute, Macquarie University and the University of Sydney and have confirmed the need for further investment in research for blinding eye conditions.
Notably, this project marked the first of its kind to gather data on quality of life and health-related costs, facilitating the development of an economic model to assess the cost-effectiveness of utilising genomic testing for genetic eye conditions.
-
We provided a world-first model of the health economic impact of genetic blindness and the benefits to patient and the community that could be achieved by using precision medicine.
Our economic modelling showed the costs of genetic retinal disease across the lifespan and the cost-effectiveness of routine genomic testing, providing important evidence for governments and to inform future approaches.
-
Lead Investigator
- Professor Robyn Jamieson
Head, Eye Genetics Research Unit Children’s Medical Research Institute
Research team
- The GenIMPACT Centre for Economic Impacts of Genomic Medicine
- Professor Robyn Jamieson
-
- Children’s Medical Research Institute
- The Children’s Hospital Network (at Westmead), Sydney Children’s Hospitals Network
- The University of Sydney
- Macquarie University
-
Economic impact and health implementation analysis of a model for blinding genetic eye conditions
Cost of going blind calculated for first time as $5.2m
Schofield D, Kraindler J, Tan O, Shrestha R, West S, Ma A, Jelovic D, Grigg J, Jamieson RV. Patient reported health-related quality of life in individuals with inherited retinal diseases. Ophthalmology Science, 2022;2:100106
Schofield D, Kraindler J, Tan O, Shrestha RN, West S, Hart N, Tan L, Ma A, Grigg JR, Jamieson RV. The health care and societal costs of inherited retinal diseases in Australia: a microsimulation modelling study. Medical Journal of Australia. 2023 Jul 17;219(2):70-6.