| Impact of false-positive newborn metabolic screening results on early health care utilization. | |
| | |
MedLine Citation:
|
PMID: 19661808 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To analyze the association between false-positive newborn screening results and health care utilization. METHODS: We surveyed parents regarding their children's health care utilization. Parents of children who received false-positive newborn screening results were primarily enrolled by a screening laboratory in Pennsylvania. Parents of children with normal results were recruited through the Massachusetts birth registry. We used bivariate tests and multivariate regression to assess the association between newborn screening results and primary care utilization, emergency room use, and hospitalization by the age of 6 months. RESULTS: Our sample included 200 children with false-positive results and 137 with normal results. Variation in recruitment strategies led to sample children with false-positive results being more likely to be non-white, have unmarried parents, and be of lower socioeconomic status. After adjusting for significant covariates, such as age, race, and socioeconomic status, there were no significant associations between newborn screening results and child health care utilization. CONCLUSIONS: Despite the reported negative psychosocial effects of false-positive results, our study found no impact on early health care utilization. These results may assist in economic analyses of newborn screening as they suggest that medical costs associated with false-positive results are limited to the cost of diagnostic testing and follow-up. |
| | |
Authors:
|
Ellen A Lipstein; James M Perrin; Susan E Waisbren; Lisa A Prosser |
Related Documents
:
|
9849268 - Preventing lead poisoning and its consequences. 17613958 - The gamblers' temperament and character inventory (tci) personality profile. 17952508 - Quorum sensing antagonism from marine organisms. 3292728 - Ethical issues in genetic screening for susceptibility to chronic lung disease. 3792268 - Effect of commercial formulation of four organophosphorus insecticides on the lh-induce... 9714998 - Job satisfaction among rural physician assistants. |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Genetics in medicine : official journal of the American College of Medical Genetics Volume: 11 ISSN: 1530-0366 ISO Abbreviation: Genet. Med. Publication Date: 2009 Oct |
Date Detail:
|
Created Date: 2009-10-15 Completed Date: 2009-12-17 Revised Date: 2010-12-03 |
Medline Journal Info:
|
Nlm Unique ID: 9815831 Medline TA: Genet Med Country: United States |
Other Details:
|
Languages: eng Pagination: 716-21 Citation Subset: IM |
Affiliation:
|
Center for Child and Adolescent Health Policy, MassGeneral Hospital for Children, Boston, Massachusetts 02114, USA. elipstein@partners.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Delivery of Health Care
/
utilization* False Positive Reactions Female Health Care Costs Humans Infant Infant, Newborn Infant, Newborn, Diseases / diagnosis, epidemiology Interviews as Topic Male Metabolic Diseases / diagnosis*, epidemiology Metabolism, Inborn Errors / diagnosis*, epidemiology Neonatal Screening / methods, standards* Sensitivity and Specificity |
| Grant Support | |
ID/Acronym/Agency:
|
5H46 MC00158//PHS HHS; R01 HG002085-01/HG/NHGRI NIH HHS; R01 HG002085-02/HG/NHGRI NIH HHS; R01 HG002085-03/HG/NHGRI NIH HHS; R01 HG002085-04/HG/NHGRI NIH HHS; R01 HG002085-05/HG/NHGRI NIH HHS; R01 HG002085-06/HG/NHGRI NIH HHS; R01 HG002085-06S1/HG/NHGRI NIH HHS; R01 HG02085/HG/NHGRI NIH HHS; T32 HP10018//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Right ventricular function in myocardial infarction complicated by cardiogenic shock: Improvement wi...
Next Document: Breast cancer risk communication: Assessment of primary care physicians by standardized patients.