Document Detail


Cost-effectiveness of universal ultrasound screening compared with clinical examination alone in the diagnosis and treatment of neonatal hip dysplasia in Austria.
MedLine Citation:
PMID:  21768641     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M Thaler; R Biedermann; J Lair; M Krismer; F Landauer
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2011-07-19     Completed Date:  2011-10-24     Revised Date:  2013-06-24    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1126-30     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Medical University of Innsbruck, Anichstrasse 65, 6020 Innsbruck, Austria.
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MeSH Terms
Descriptor/Qualifier:
Austria / 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
Comments/Corrections
Comment In:
Orthopade. 2013 May;42(5):371-2   [PMID:  23657906 ]

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