[A cost-benefit evaluation of prenatal diagnosis performed at a referral center with a population with a genetic or abnormality risk].
Prenatal diagnosis (PND) has assistencial, psychological and economical consequences; it is very important to evaluate cost effectiveness for the population. A prospective study was done (longitudinal and descriptive) on a population referred to Maternidade Dr. Alfredo da Costa, divided into two groups. Group one with PND performed on proper time and second group a PND procedure performed on a adequate time. The general characterization, indications for reference and consequences were evaluated. The conclusions are that the indications for reference were correct and the diagnosis was effective in 17% of patients. Social, economical levels and multiparity were the most important factors affecting adequate PND. However concerning the results, the termination of pregnancy was more performed on the group 1 and more abnormalities were seen on the newborns of group 2.
Tomé
T
T
Núcleo de Diagnóstico Prénatal da Maternidade Dr. Alfredo da Costa, Lisboa.
Gaspar
G
G
Marques
A
A
Correia
J
J
Lacerda
A
A
Carreiro
H
H
Faustino
P
P
Ferreira
A
A
Rosa
D
D
Sing
C
C
D000328:Adult; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000191:economics*; D003362:Cost-Benefit Analysis; D004198:Disease Susceptibility; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011174:Portugal; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000191:economics* / Q000706:statistics & numerical data; D011446:Prospective Studies; D012017:Referral and Consultation / Q000191:economics* / Q000706:statistics & numerical data; D012307:Risk Factors
Avaliação do custo/benefício do diagnóstico prénatal efectuado num centro de referĕncia numa população com risco genético ou malformativo.