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Gepubliceerd in: Journal of Autism and Developmental Disorders 9/2018

11-04-2018 | Original Paper

Cost-Effectiveness of Universal or High-Risk Screening Compared to Surveillance Monitoring in Autism Spectrum Disorder

Auteurs: Tracy Yuen, Melissa T. Carter, Peter Szatmari, Wendy J. Ungar

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 9/2018

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Abstract

The American Academy of Pediatrics recommends universal screening for autism spectrum disorder at 18 and 24 months. This study compared the cost-effectiveness of universal or high-risk screening to surveillance monitoring. Simulation models estimated the costs and outcomes from birth to age 6 years. The incremental cost per child diagnosed by 36 months was $41,651.6 for high-risk screening and $757,116.9 for universal screening from the societal perspective. Universal screening may not be a cost-effective approach to increase earlier treatment initiation, as most children initiated treatment after age 60 months. Eliminating wait times resulted in more children initiated treatment by 48 months, but at a high initial cost that may be offset by future cost-savings related to better outcomes.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
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Metagegevens
Titel
Cost-Effectiveness of Universal or High-Risk Screening Compared to Surveillance Monitoring in Autism Spectrum Disorder
Auteurs
Tracy Yuen
Melissa T. Carter
Peter Szatmari
Wendy J. Ungar
Publicatiedatum
11-04-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 9/2018
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-018-3571-4