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Evaluation of the economic impact of modified screening criteria for retinopathy of prematurity from the Postnatal Growth and ROP (G-ROP) study
Ist Teil von
Journal of perinatology, 2020-07, Vol.40 (7), p.1100-1108
Ort / Verlag
New York: Nature Publishing Group US
Erscheinungsjahr
2020
Quelle
MEDLINE
Beschreibungen/Notizen
Importance
The Postnatal Growth and Retinopathy of Prematurity (G-ROP) Study showed that the addition of postnatal weight gain to birth weight and gestational age detects similar numbers of infants with ROP, but requires examination of fewer infants.
Objective
To determine the incremental cost-effectiveness of screening with G-ROP compared with conventional screening.
Design, setting and participants
We built a microsimulation model of a 1-year US birth cohort <32 weeks gestation, using data from the G-ROP study. We obtained resource utilization estimates from the G-ROP dataset and from secondary sources, and test characteristics from the G-ROP cohort.
Results
Among 78,281 infants nationally, screening with G-ROP detected ~25 additional infants with Type 1 ROP. This was accomplished with 36,233 fewer examinations, in 14,073 fewer infants, with annual cost savings of approximately US$2,931,980 through hospital discharge.
Conclusions
Screening with G-ROP reduced costs while increasing the detection of ROP compared with current screening guidelines.