Costs of different strategies for neonatal hearing screening: a modelling approach.
Arch Dis Child Fetal Neonatal Ed
; 85(3): F177-81, 2001 Nov.
Article
em En
| MEDLINE
| ID: mdl-11668159
ABSTRACT
OBJECTIVE:
To compare the cost effectiveness of various strategies for neonatal hearing screening by estimating the cost per hearing impaired child detected.DESIGN:
Cost analyses with a simulation model, including a multivariate sensitivity analysis. Comparisons of the cost per child detected were made for screening method (automated auditory brainstem response or otoacoustic emissions); number of stages in the screening process (two or three); target disorder (bilateral hearing loss or both unilateral and bilateral loss); location (at home or at a child health clinic).SETTING:
The Netherlands TARGET POPULATION All newborn infants not admitted to neonatal intensive care units. MAIN OUTCOMEMEASURE:
Costs per child detected with a hearing loss of 40 dB or more in the better ear.RESULTS:
Costs of a three stage screening process in child health clinics are 39.0 pounds (95% confidence interval 20.0 to 57.0) per child detected with automated auditory brainstem response compared with 25.0 (14.4 to 35.6) pounds per child detected with otoacoustic emissions. A three stage screening process not only reduces the referral rates, but is also likely to cost less than a two stage process because of the lower cost of diagnostic facilities. The extra cost (over and above a screening programme detecting bilateral losses) of detecting one child with unilateral hearing loss is 1500-4000 pounds. With the currently available information, no preference can be expressed for a screening location.CONCLUSIONS:
Three stage screening with otoacoustic emissions is recommended. Whether screening at home is more cost effective than screening at a child health clinic needs further study.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Triagem Neonatal
/
Surdez
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
/
Prognostic_studies
/
Screening_studies
Limite:
Female
/
Humans
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Male
/
Newborn
Idioma:
En
Revista:
Arch Dis Child Fetal Neonatal Ed
Assunto da revista:
PEDIATRIA
/
PERINATOLOGIA
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Holanda