Screening for spina bifida cystica. A cost-benefit analysis.

Hagard, Spencer; Carter, F; Milne, RJ

doi:10.1136/jech.30.1.40

Cited by 34 publications

(15 citation statements)

References 29 publications

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“…In this study, a discount rate of 14% was selected as the most suitable considering the current economic situation. This rate is relatively high [23] and therefore could have the effect of minimizing the benefits since the present value of future benefits decreases as the discount rate increases [15]. The selection of a high rate would have the effect of minimizing the benefits.…”

Section: Discussionmentioning

confidence: 99%

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A cost‐benefit analysis of prenatal diagnosis for neural tube defects selectively offered to relatives of index cases

1982

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Relatives of patients with neural tube defects (NTD) frequently request prenatal diagnosis for this problem, and it would be helpful to have information on cost-benefit aspects of offering this service to them. A cost-benefit analysis was done for selective prenatal diagnosis offered to parents and aunts of index cases as these are the two groups for which adequate empiric data are available. The results are extrapolated to other relatives. The study concludes that prenatal diagnosis is cost-beneficial if selectively offered for pregnancies where the fetus is a first or second degree relative of an index case. The results are discussed in terms of whether prenatal diagnosis should be offered to all aunts of index cases or only to maternal aunts. The lifetime costs of caring for an individual with spina bifida, in 1980 dollars, was calculated to be approximately $84,000.

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Section: Discussionmentioning

confidence: 99%

“…Physiotherapy: Approximately 25% of children aged 3 to 10 require physiotherapy [15], and costs are those paid by the B.C. government.…”

Section: Medical Carementioning

confidence: 99%

A cost‐benefit analysis of prenatal diagnosis for neural tube defects selectively offered to relatives of index cases

1982

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“…It seems unlikely that a much more emotive issue could arise than screening for spina bifida. Yet even here cost-benefit analysis has been able to assist decision-making (Hagard et al, 1976).…”

Section: Cost-benefit Analysis Of Alternative Policiesmentioning

confidence: 99%

Economic approaches to alternative patterns of health care.

Mooney¹

1979

Journal of Epidemiology & Community Health

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“…A Scottish study identifi ed signifi cant cost savings by screening for spina bifi da cystica in the fetus, with abortion of the positive cases (37). Of course, such a program would be ineffective in any population that found abortion unacceptable in the event of a positive test.…”

Section: Screening For a Single Diseasementioning

confidence: 99%

Risk Assessment and Health Hazard Appraisal

Vogt¹

1981

Annu. Rev. Public Health

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Screening for spina bifida cystica. A cost-benefit analysis.

Cited by 34 publications

References 29 publications

A cost‐benefit analysis of prenatal diagnosis for neural tube defects selectively offered to relatives of index cases

A cost‐benefit analysis of prenatal diagnosis for neural tube defects selectively offered to relatives of index cases

Economic approaches to alternative patterns of health care.

Risk Assessment and Health Hazard Appraisal

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