Cost-effectiveness of alternative screening strategies for developmental dysplasia of the hip.
To compare the cost-effectiveness of adding either a general or a selective ultrasound screening program to the routine clinical examination for developmental dysplasia of the hip (DDH) with use of the data from a large, randomized study of 11925 newborns.
Our previous study comparing the clinical outcomes of three strategies for screening infants for DDH suggested (but results were not statistically significant) that general ultrasound screening resulted in fewer children requiring hospitalization and surgery for DDH than did a strategy based on ultrasound screening of the 11.8% of infants considered to be at increased risk of DDH or one with no ultrasound screening.
General ultrasound screening led to early splinting of 3.4% of the newborns compared with 2.0% for the selectively screened group and 1.8% for the group not receiving ultrasound screening.
Total program costs were similar for each of the three screening strategies (costs varied by<5%). The cost estimates were sensitive to several variables.
Application of the data to a hypothetical ultrasound program in which all girls and only boys at increased risk for DDH underwent an ultrasound examination showed substantially reduced total program costs.
Application of costs from other centers to our data regarding frequency of clinical outcomes may yield different comparative program costs.
Mots-clés Pascal : Luxation, Congénital, Hanche, Nouveau né, Homme, Sexe, Evaluation, Echographie, Dépistage, Analyse avantage coût, Dysplasie, Système ostéoarticulaire pathologie, Maladie congénitale, Malformation, Arthropathie, Economie santé, Prévention, Exploration ultrason
Mots-clés Pascal anglais : Luxation, Congenital, Hip, Newborn, Human, Sex, Evaluation, Echography, Medical screening, Cost benefit analysis, Dysplasia, Diseases of the osteoarticular system, Congenital disease, Malformation, Arthropathy, Health economy, Prevention, Sonography
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0364740
Code Inist : 002B15H. Création : 01/03/1996.