| Cost-effectiveness of universal ultrasound screening compared with clinical examination alone in the diagnosis and treatment of neonatal hip dysplasia in Austria. | |
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MedLine Citation:
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PMID: 21768641 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between 1978 and 1997 all newborns in the Austrian province of Tyrol were reviewed regarding hip dysplasia and related surgery. This involved a mean of 8257 births per year (7766 to 8858). Two observation periods were determined: 1978 to 1982 (clinical examination alone) and 1993 to 1997 (clinical examination and universal ultrasound screening). A retrospective analysis compared the number and cost of interventions due to hip dysplasia in three patient age groups: A, 0 to < 1.5 years; B, ≥ 1.5 to < 15 years; and C, ≥ 15 to < 35 years. In group A, there was a decrease in hip reductions from a mean of 25.2 (SD 2.8) to 7.0 (SD 1.4) cases per year. In group B, operative procedures decreased from a mean of 17.8 (SD 3.5) to 2.6 (SD 1.3) per year. There was a 75.9% decrease in the total number of interventions for groups A and B. An increase of €57,000 in the overall cost per year for the second period (1993 to 1997) was seen, mainly due to the screening programme. However, there was a marked reduction in costs of all surgical and non-surgical treatments for dysplastic hips from €410,000 (1978 to 1982) to €117,000 (1993 to 1997). We believe the small proportional increase in costs of the universal ultrasound screening programme is justifiable as it was associated with a reduction in the number of non-surgical and surgical interventions. We therefore recommend universal hip ultrasound screening for neonates. |
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Authors:
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M Thaler; R Biedermann; J Lair; M Krismer; F Landauer |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 93 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-07-19 Completed Date: 2011-10-24 Revised Date: 2011-12-09 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 1126-30 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 65, 6020 Innsbruck, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Austria
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epidemiology Cost-Benefit Analysis Female Health Care Costs / statistics & numerical data Hip Dislocation, Congenital / economics, epidemiology, surgery, ultrasonography* Humans Infant, Newborn Male Neonatal Screening / economics*, methods Orthopedic Procedures / economics, statistics & numerical data, trends Physical Examination / economics Retrospective Studies Ultrasonography / economics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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