Document Detail


Financial justification for routine ultrasound screening of the neonatal hip.
MedLine Citation:
PMID:  10530849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have analysed the patterns of management of developmental dysplasia of the hip (DDH) in Coventry over a period of 20 years during which three different screening policies were used. From 1976 to the end of 1985 we relied on clinical examination alone. The mean surgical cost for the treatment of DDH during this period was Pound Sterling 5110 per 1000 live births. This was reduced to Pound Sterling 3811 after the introduction of ultrasound for infants with known risk factors. Since June 1989 we have routinely scanned all infants at birth with a mean surgical cost of Pound Sterling 468 per 1000 live births. This reduction in cost is a result of the earlier detection of DDH with fewer children requiring surgery. In those who do, fewer and less invasive procedures are needed. The overall rate of treatment has not increased and regular review of patients managed in a Pavlik harness has allowed us to avoid the complication of avascular necrosis. When we add the cost of running the screening programme to the expense of treating the condition, the overall cost for the management of DDH is comparable for the different screening policies.
Authors:
J Clegg; C E Bache; V V Raut
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  81     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-10-26     Completed Date:  1999-10-26     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  852-7     Citation Subset:  AIM; IM    
Affiliation:
Coventry and Warwickshire Hospital, Coventry, England.
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MeSH Terms
Descriptor/Qualifier:
Blood Transfusion / economics
Bone Screws / economics
Contrast Media / economics
Cost Control
Great Britain
Hip Dislocation, Congenital / economics*,  therapy,  ultrasonography*
Hospitalization / economics
Humans
Infant, Newborn
Neonatal Screening / economics*
Osteotomy / economics
Ultrasonography / economics*
Chemical
Reg. No./Substance:
0/Contrast Media
Comments/Corrections
Comment In:
J Bone Joint Surg Br. 2000 Sep;82(7):1083   [PMID:  11041606 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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