title: Estimated Cost-Effectiveness of Intensive Interdisciplinary Behavioral Treatment for Increasing Oral Intake in Children With Feeding Difficulties.
abstract: OBJECTIVE : To examine the cost-effectiveness of intensive interdisciplinary behavioral treatment (IIBT) to address severe pediatric feeding difficulties and lead to the removal or prevention of gastrostomy tubes (G tubes) from the perspective of the insurance company.  METHODS : Costs associated with G tubes and IIBT were compiled from the available literature and national databases. Costs were updated to price at the start of 2015 to allow data from different years to be analyzed on the same scale.  RESULTS : One-way sensitivity and two-way threshold analyses demonstrated that IIBT may be a cost-effective treatment for prevention and removal of G tubes over 5 and 10 years.  DISCUSSION : Data from this study can be used to justify cost of services for IIBT, and programs can use these data to discuss conservative savings of IIBT based on their treatment model and level of effectiveness.
authors.affiliation: Nationwide Children's Hospital Robert.Dempster@Nationwidechildrens.org.
authors.forename: Robert
authors.initials: R
authors.lastname: Dempster
authors.affiliation: Nationwide Children's Hospital.
authors.forename: Wendelin
authors.initials: W
authors.lastname: Burdo-Hartman
authors.affiliation: Nationwide Children's Hospital.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Halpin
authors.affiliation: Nationwide Children's Hospital.
authors.forename: Carol
authors.initials: C
authors.lastname: Williams
mesh_terms: D001521:Behavior Therapy / Q000191:economics* / Q000379:methods; D002648:Child; D003362:Cost-Benefit Analysis; D004750:Enteral Nutrition / Q000191:economics / Q000379:methods* / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000191:economics / Q000523:psychology / Q000628:therapy*; D005774:Gastrostomy / Q000191:economics; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000191:economics; D016896:Treatment Outcome; D014481:United States
keywords: behavioral feeding therapy; cost-effectiveness; interdisciplinary treatment