Guest guest Posted July 23, 2003 Report Share Posted July 23, 2003 Subject: CF: Analysis of the costs of diagnosing cystic fibrosis with a newborn screening program J Pediatr 2003;142:617-23 June 2003 . Volume 142 . Number 6 Analysis of the costs of diagnosing cystic fibrosis with a newborn screening program Don S. Lee [MEDLINE LOOKUP] Marjorie A. Rosenberg, PhD, FSA [MEDLINE LOOKUP] [MEDLINE LOOKUP] Makholm [MEDLINE LOOKUP] Hoffman [MEDLINE LOOKUP] H. Laessig, PhD [MEDLINE LOOKUP] Philip M. Farrell, MD, PhD [MEDLINE LOOKUP] Abstract Objectives To compare the cost of diagnosing cystic fibrosis (CF) through a newborn screening program with the traditional method and to estimate the cost of CF diagnosis if a national newborn screening program is implemented. Study design Surveys were conducted to determine the annual number of sweat tests in 1991 and in 2000 after implementation of statewide screening. A national survey of sweat test costs was used to estimate the annual expense for diagnosing CF in the United States through newborn screening. Results Since the introduction of newborn screening for CF, the numbers of sweat tests ordered annually have decreased from 1670 to 804 (including 134 follow-up tests from screening). The current estimated annual cost of Wisconsin CF newborn screening and diagnosis is $4.58 per newborn infant. The estimated annual cost per newly diagnosed CF infant using the traditional method is $4.97 per newborn infant. If no additional sweat tests were ordered outside of the newborn screening program, the estimated annual cost of a Wisconsin CF newborn screening and diagnosis is $2.66 per newborn and $2.47 per newborn for a national CF newborn screening program. Conclusions A CF newborn screening program provides a potentially cost-saving alternative to the traditional method of diagnosis of CF. (J Pediatr 2003;142:617-23) Publishing and Reprint Information TOP From the University of Wisconsin and the State Laboratory of Hygiene, Madison, Wisconsin. Supported by grants from the National Institutes of Health (DK 34108 and M01 RR03186-from the National Center for Research Resources to the University of Wisconsin Medical School) and the Cystic Fibrosis Foundation (A001-5-01). Submitted for publication April 30, 2002; revisions received September 5, 2002, and January 17, 2003; accepted February 27, 2003. Reprint requests: Philip M. Farrell, MD, PhD, Professor of Pediatrics and Dean, University of Wisconsin Medical School, Room 1217 MSC, 1300 University Ave, Madison, WI 53706-1532. E-mail: pmfarrel@... . Copyright © 2003, Mosby, Inc. All rights reserved. Quote Link to comment Share on other sites More sharing options...
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