Cost-effectiveness of ultrasonographic screening for congenital hip dysplasia in new-borns.
OBJECTIVE
Screening for congenital dysplasia of the hips (CDH) of new-borns, mostly by Ortolani's of Barlow's tests, is widely performed, but nevertheless dysplasias are still discovered late. Ultrasonographic screening has been reported to reduce the number of these cases. The present investigation is intended to evaluate the cost-effectiveness of such as screening programme.


METHODS
The cost of performing ultrasound investigations at Haukeland Hospital and the treatment costs of late-discovered CDH were calculated on the basis of 26 cases of late-discovered CDH at Hagavik Orthopaedic Hospital. Figures for sensitivity and specificity were taken from the literature.


RESULTS
General ultrasonographic screening programmes for CDH will not be cost-effective because the population screened will be too large and the demands upon sensitivity too high. However, investigating babies at risk is probably cost-effective.


CONCLUSIONS
A CDH screening programme requires high sensitivity and one should preferably aim at screening babies at risk. In Norway a centralisation to larger hospitals may therefore be necessary.
Geitung
J T
JT
Department of Radiology, Ullevål University Hospital, Oslo, Norway.
Rosendahl
K
K
Sudmann
E
E
D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D017048:Health Care Costs; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging* / Q000191:economics / Q000517:prevention & control / Q000628:therapy; D017721:Hospital Costs; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000191:economics*; D009664:Norway; D012017:Referral and Consultation; D012307:Risk Factors; D012680:Sensitivity and Specificity; D014463:Ultrasonography