| The cost-effectiveness of an intensive treatment protocol for severe dyslexia in children. | |
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MedLine Citation:
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PMID: 21793122 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Studies of interventions for dyslexia have focused entirely on outcomes related to literacy. In this study, we considered a broader picture assessing improved quality of life compared with costs. A model served as a tool to compare costs and effects of treatment according to a new protocol and care as usual. Quality of life was measured and valued by proxies using a general quality-of-life instrument (EQ-5D). We considered medical cost and non-medical cost (e.g. remedial teaching). The model computed cost per successful treatment and cost per quality adjusted life year (QALY) in time. About 75% of the total costs was related to diagnostic tests to distinguish between children with severe dyslexia and children who have reading difficulties for other reasons. The costs per successful treatment of severe dyslexia were €36 366. Successful treatment showed a quality-of-life gain of about 11%. At primary school, the average cost per QALY for severe dyslexia amounted to €58 647. In the long term, the cost per QALY decreased to €26 386 at secondary school and €17 663 thereafter. The results of this study provide evidence that treatment of severe dyslexia is cost-effective when the investigated protocol is followed. |
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Authors:
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Leona Hakkaart-van Roijen; Wim G Goettsch; Michel Ekkebus; Patty Gerretsen; Elly A Stolk |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Dyslexia (Chichester, England) Volume: 17 ISSN: 1099-0909 ISO Abbreviation: Dyslexia Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-07-27 Completed Date: 2011-11-29 Revised Date: 2011-12-16 |
Medline Journal Info:
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Nlm Unique ID: 9511375 Medline TA: Dyslexia Country: England |
Other Details:
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Languages: eng Pagination: 256-67 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 John Wiley & Sons, Ltd. |
Affiliation:
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Institute for Medical Technology Assessment (iMTA), Erasmus University Rotterdam, The Netherlands. hakkaart@bmg.eur.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Analysis of Variance Child Clinical Protocols Cost-Benefit Analysis / methods* Dyslexia / economics*, psychology, therapy* Female Humans Male Models, Theoretical Quality of Life / psychology Quality-Adjusted Life Years Sensitivity and Specificity Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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