Neovascular Age-Related Macular Degeneration in the Era of Value-Based Health Care

Mari Elshout

Research output: ThesisDoctoral ThesisInternal

585 Downloads (Pure)


Neovascular age-related macular degeneration is a disorder of the retina in the eye. The dissertation describes that without treatment, sharpness of sight and quality of life of patients deteriorate considerably. Earlier studies have investigated the cost-effectiveness of treatments, often with incorrect assumptions. A new computer model showed that treatment with the medicine ‘bevacizumab’ is cost-effective. Furthermore, the thesis describes methods that can help ophthalmologists make decisions about whether or not to treat a patient, based on the sharpness of sight and quality of life. Treatments have also been compared on practical results. Points for improvement in diagnosis and treatment were also found.
Original languageEnglish
Awarding Institution
  • Maastricht University
  • Webers, Carroll, Supervisor
  • Schouten, Jan S. A. G., Co-Supervisor, External person
Award date16 May 2019
Place of PublicationMaastricht
Print ISBNs9789463235556
Publication statusPublished - 2019


  • Ophthalmology
  • retina
  • macular degeneration
  • Therapy
  • Cost effectiveness
  • Quality of life

Cite this