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Title: Análisis de coste-utilidad de un programa de vigilancia para prevenir la luxación de cadera en niños y niñas con parálisis cerebral
Other Titles: Cost-effectiveness analysis of a surveillance program to prevent hip dislocation in children with cerebral palsy
Authors: Vallejo-Torres, Laura 
Rivero-Santana, Amado
Martin-Saborido, Carlos
Epstein, David
Perestelo-Pérez, Lilisbeth
Castellano-Fuentes, Carmen Luisa
Escobar-Martínez, Antonio
Serrano-Aguilar, Pedro
UNESCO Clasification: 53 Ciencias económicas
32 Ciencias médicas
Keywords: Cerebral Palsy
Cost-Benefit Analysis
Hip Dislocation
Issue Date: 2019
Journal: Gaceta Sanitaria 
Abstract: 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.
ISSN: 0213-9111
DOI: 10.1016/j.gaceta.2019.05.005
Source: Gaceta Sanitaria [ISSN 0213-9111], v. 34(4), p. 377-384
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