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Gaceta Sanitaria

Print version ISSN 0213-9111

Abstract

VALLEJO-TORRES, Laura et al. Cost-effectiveness analysis of a surveillance program to prevent hip dislocation in children with cerebral palsy. Gac Sanit [online]. 2020, vol.34, n.4, pp.377-384.  Epub Feb 15, 2021. ISSN 0213-9111.  https://dx.doi.org/10.1016/j.gaceta.2019.05.005.

Objective

In this study we conducted an economic evaluation of a surveillance programme to prevent hip dislocation in children with cerebral palsy.

Method

We developed a model that compared costs and health outcomes of children with cerebral palsy with and without a surveillance programme. Information from a number of sources was combined into a decision analytical model, primarily based on data from a comparative study with a 20-year follow-up. Effectiveness was measured using Quality-Adjusted Life Years (QALYs). The analysis took the perspective of the Spanish National Health Service. We undertook extensive sensitivity analyses including a probabilistic sensitivity analysis.

Results

The surveillance programme led to higher QALYs and higher health care costs, with an estimated incremental cost per QALY gained of 12,282€. The results were robust to model assumptions. The probability that the programme was cost-effective was estimated to be over 80% at the threshold of 25.000€/QALY recommended in Spain.

Conclusion

This study indicates that surveillance programmes to prevent hip dislocation in children with cerebral palsy are likely to be cost-effective.

Keywords : Cost-benefit analysis; Hip dislocation; Cerebral palsy.

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