Top

Journal of Autism and Developmental Disorders

Gepubliceerd in:

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

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.

vorige artikel The Feeling of Me Feeling for You: Interoception, Alexithymia and Empathy in Autism

volgende artikel Non-reciprocal Friendships in a School-Age Boy with Autism: The Ties that Build?

Alleen toegankelijk voor geautoriseerde gebruikers

Al-Qabandi, M., Gorter, J. W., & Rosenbaum, P. (2011). Early autism detection: Are we ready for routine screening? Pediatrics, 128(1), e211–e217. https://doi.org/10.1542/peds.2010-1881.CrossRefPubMed

American Academy of Pediatrics. (2015). Recommendations for preventive pediatric health care—Periodicity schedule. https://www.aap.org/en-us/Documents/PeriodicitySchedule2015_Visionscreening.pdf.

Auditor General of Ontario. (2013). Autism services and supports for children. Office of Auditor General of Ontario.

Auditor General of Ontario. (2015). Autism services and supports for children. Office of Auditor General of Ontario.

Begeer, S., Bouk, S. E., Boussaid, W., Terwogt, M. M., & Koot, H. M. (2009). Underdiagnosis and referral bias of autism in ethnic minorities. Journal of Autism and Developmental Disorders, 39(1), 142–148. https://doi.org/10.1007/s10803-008-0611-5.CrossRefPubMed

British Columbia Psychological Association. (2014). Suggested current market rate 2014–2015. British Columbia Psychological Association.

Buescher, A. V. S., Cidav, Z., Knapp, M., & Mandell, D. S. (2014). Costs of autism spectrum disorders in the United Kingdom and the United States. JAMA Pediatrics, 168(8), 721. https://doi.org/10.1001/jamapediatrics.2014.210.CrossRefPubMed

Centers for Disease Control and Prevention. (2015). Developmental milestone checklist. Division of Birth Defects, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention. Retrieved January 21, 2015 from http://www.cdc.gov/ncbddd/actearly/milestones/.

Centers for Disease Control and Prevention. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years- Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States 2012. Morbidity and Mortality Weekly Report, 65(3), 1–21

Chasson, G. S., Harris, G. E., & Neely, W. J. (2007). Cost comparison of early intensive behavioral intervention and special education for children with autism. Journal of Child and Family Studies, 16(3), 401–413. https://doi.org/10.1007/s10826-006-9094-1.CrossRef

Chawarska, K., Klin, A., Paul, R., & Volkmar, F. (2007). Autism spectrum disorder in the second year: Stability and change in syndrome expression. Journal of Child Psychology and Psychiatry, 48(2), 128–138. https://doi.org/10.1111/j.1469-7610.2006.01685.x.CrossRefPubMed

Chlebowski, C., Robins, D. L., Barton, M. L., & Fein, D. (2013). Large-scale use of the modified checklist for autism in low-risk toddlers. Pediatrics, 131(4), e1121–e1127. https://doi.org/10.1542/peds.2012-1525.CrossRefPubMedPubMedCentral

Cidav, Z., Lawer, L., Marcus, S. C., & Mandell, D. S. (2013). Age-related variation in health service use and associated expenditures among children with autism. Journal of Autism and Developmental Disorders, 43(4), 924–931. https://doi.org/10.1007/s10803-012-1637-2.CrossRefPubMedPubMedCentral

Cidav, Z., Munson, J., Estes, A., Dawson, G., Rogers, S., & Mandell, D. (2017). Cost offset associated with early start denver model for children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 56(9), 777–783. https://doi.org/10.1016/j.jaac.2017.06.007.CrossRefPubMed

Dawson, G. (2016). Why it’s important to continue universal autism screening while research fully examines its impact. JAMA Pediatrics, 170(6), 527. https://doi.org/10.1001/jamapediatrics.2016.0163.CrossRefPubMed

Fein, D. (2016). Commentary on USPSTF final statement on universal screening for autism. Journal of Developmental & Behavioral Pediatrics, 37(7), 573–578. https://doi.org/10.1097/DBP.0000000000000345.CrossRef

Filipek, P. A., Accardo, P. J., Ashwal, S., Baranek, G. T., Cook, E. H., Dawson, G., et al. (2000). Practice parameter: Screening and diagnosis of autism: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Child Neurology Society. Neurology, 55(4), 468–479.CrossRefPubMed

Flores, G., & Lin, H. (2013). Trends in racial/ethnic disparities in medical and oral health, access to care, and use of services in US children: Has anything changed over the years? International Journal for Equity in Health, 12, 10. https://doi.org/10.1186/1475-9276-12-10.CrossRefPubMedPubMedCentral

Granpeesheh, D., Dixon, D. R., Tarbox, J., Kaplan, A. M., & Wilke, A. E. (2009). The effects of age and treatment intensity on behavioral intervention outcomes for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(4), 1014–1022. https://doi.org/10.1016/j.rasd.2009.06.007.CrossRef

Grønborg, T. K., Schendel, D. E., & Parner, E. T. (2013). Recurrence of autism spectrum disorders in full- and half-siblings and trends over time: A population-based cohort study. JAMA Pediatrics, 167(10), 947. https://doi.org/10.1001/jamapediatrics.2013.2259.CrossRefPubMedPubMedCentral

Guerrero, A. D., Rodriguez, M. A., & Flores, G. (2011). Disparities in provider elicitation of parents’ developmental concerns for US children. Pediatrics, 128(5), 901–909. https://doi.org/10.1542/peds.2011-0030.CrossRefPubMed

Guevara, J. P., Gerdes, M., Localio, R., Huang, Y. V., Pinto-Martin, J., Minkovitz, C. S., et al. (2013). Effectiveness of developmental screening in an urban setting. Pediatrics, 131(1), 30–37. https://doi.org/10.1542/peds.2012-0765.CrossRefPubMed

Guthrie, W., Swineford, L. B., Nottke, C., & Wetherby, A. M. (2013). Early diagnosis of autism spectrum disorder: Stability and change in clinical diagnosis and symptom presentation. Journal of Child Psychology and Psychiatry, 54(5), 582–590. https://doi.org/10.1111/jcpp.12008.CrossRefPubMed

Hagan, J. F., Shaw, S. M., & Duncan, P. (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents. Pocket guide (3rd edn.). Elk Grove Village, IL: American Academy of Pediatrics.

Harris, S. L., & Handleman, J. S. (2000). Age and IQ at intake as predictors of placement for young children with autism: A four- to six-year follow-up. Journal of Autism and Developmental Disorders, 30(2), 137–142.CrossRefPubMed

Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. The American Journal of Psychiatry, 169(10), 1056–1064. https://doi.org/10.1176/appi.ajp.2012.12020276.CrossRefPubMedPubMedCentral

Jacobson, J. W., Mulick, J. A., & Green, G. (1998). Cost-benefit estimates for early intensive behavioral intervention for young children with autism—general model and single state case. Behavioral Interventions, 13(4), 201–226https://doi.org/10.1002/(SICI)1099-078X(199811)13:4%3C201::AID-BIN17%3E3.0.CO;2-R.CrossRef

Johnson, C. P., Myers, S. M. & the Council on Children With Disabilities. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120(5), 1183–1215. https://doi.org/10.1542/peds.2007-2361.CrossRefPubMed

Kasari, C., Gulsrud, A., Freeman, S., Paparella, T., & Hellemann, G. (2012). Longitudinal follow-up of children with autism receiving targeted interventions on joint attention and play. Journal of the American Academy of Child & Adolescent Psychiatry, 51(5), 487–495. https://doi.org/10.1016/j.jaac.2012.02.019.CrossRef

Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40(9), 1045–1056. https://doi.org/10.1007/s10803-010-0955-5.CrossRefPubMedPubMedCentral

Limperopoulos, C., Bassan, H., Sullivan, N. R., Soul, J. S., Robertson, R. L., Moore, M., et al. (2008). Positive screening for autism in ex-preterm infants: Prevalence and risk factors. Pediatrics, 121(4), 758–765. https://doi.org/10.1542/peds.2007-2158.CrossRefPubMedPubMedCentral

Liptak, G. S., Stuart, T., & Auinger, P. (2006). Health care utilization and expenditures for children with autism: Data from U.S. national samples. Journal of Autism and Developmental Disorders, 36(7), 871–879. https://doi.org/10.1007/s10803-006-0119-9.CrossRefPubMed

Mandell, D. S., & Mandy, W. (2015). Should all young children be screened for autism spectrum disorder? Autism, 19(8), 895–896.CrossRefPubMed

Mandell, D. S., Novak, M. M., & Zubritsky, C. D. (2005). Factors associated with age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486. https://doi.org/10.1542/peds.2005-0185.CrossRefPubMedPubMedCentral

MATLAB. (2017). SimEvent. Natick, MA: MathWorks Inc.

McPartland, J. C., Reichow, B., & Volkmar, F. R. (2012). Sensitivity and specificity of proposed DSM-5 diagnostic criteria for autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51(4), 368–383. https://doi.org/10.1016/j.jaac.2012.01.007.CrossRef

Ministry of Health and Long-Term Care. (2015). Schedule of benefits for physician services under the Health Insurance Act. Retrieved November 9, 2015 from http://www.health.gov.on.ca/english/providers/program/ohip/sob/physserv/physserv_mn.html.

Nachshen, J., Garcin, N., Moxness, K., Tremblay, Y., Hutchinson, P., Lachance, A., et al. (2008). Screening, assessment and diagnosis of autism spectrum disorder in young children: Canadian best practice guidelines. Montreal: Miriam Foundation.

Ontario Association of Speech-Language Pathologists and Audiologists. (2016). Recommended fee schedule for speech language pathology services. Ontario Association of Speech-Language Pathologists and Audiologists.

Ontario Psychological Association. (2015). Guidelines for fees and billing practices. Ontario: Ontario Psychological Association

Ouellette-Kuntz, H. M., Coo, H., Lam, M., Breitenbach, M. M., Hennessey, P. E., Jackman, P. D., et al. (2014). The changing prevalence of autism in three regions of Canada. Journal of Autism and Developmental Disorders, 44(1), 120–136. https://doi.org/10.1007/s10803-013-1856-1.CrossRefPubMed

Ouellette-Kuntz, H. M., Coo, H., Lam, M., Yu, C. T., Breitenbach, M. M., Hennessey, P. E., et al. (2009). Age at diagnosis of autism spectrum disorders in four regions of Canada. Canadian Journal of Public Health, 100(4), 268–273.PubMed

Ozonoff, S., Heung, K., Byrd, R., Hansen, R., & Hertz-Picciotto, I. (2008). The onset of autism: Patterns of symptom emergence in the first years of life. Autism Research, 1(6), 320–328. https://doi.org/10.1002/aur.53.CrossRefPubMedPubMedCentral

Ozonoff, S., Young, G. S., Carter, A., Messinger, D., Yirmiya, N., Zwaigenbaum, L., et al. (2011). Recurrence risk for autism spectrum disorders: A baby siblings research consortium study. Pediatrics. https://doi.org/10.1542/peds.2010-2825.PubMedPubMedCentral

Pandey, J., Verbalis, A., Robins, D. L., Boorstein, H., Klin, A., Babitz, T., et al. (2008). Screening for autism in older and younger toddlers with the Modified Checklist for Autism in Toddlers. Autism, 12(5), 513–535. https://doi.org/10.1177/1362361308094503.CrossRefPubMed

Penner, M. (2016). Policy analysis and evaluation of national clinician-reported practices for diagnosis of autism spectrum disorder. Toronto: University of Toronto.

Perry, A., Cummings, A., Geier, J. D., Freeman, N. L., Hughes, S., Managhan, T., et al. (2011). Predictors of outcome for children receiving intensive behavioral intervention in a large, community-based program. Research in Autism Spectrum Disorders, 5(1), 592–603. https://doi.org/10.1016/j.rasd.2010.07.003.CrossRef

Peters-Scheffer, N., Didden, R., Korzilius, H., & Matson, J. (2012). Cost comparison of early intensive behavioral intervention and treatment as usual for children with autism spectrum disorder in the Netherlands. Research in Developmental Disabilities, 33(6), 1763–1772. https://doi.org/10.1016/j.ridd.2012.04.006.CrossRefPubMed

Piccininni, C., Bisnaire, L., & Penner, M. (2017). Cost-effectiveness of wait time reduction for intensive behavioral intervention services in Ontario, Canada. JAMA Pediatrics, 171(1), 23. https://doi.org/10.1001/jamapediatrics.2016.2695.CrossRefPubMed

Pierce, K., Carter, C., Weinfeld, M., Desmond, J., Hazin, R., Bjork, R., & Gallagher, N. (2011). Detecting, studying, and treating autism early: The one-year well-baby check-up approach. The Journal of Pediatrics, 159(3), 458–465.e6. https://doi.org/10.1016/j.jpeds.2011.02.036.CrossRefPubMedPubMedCentral

Pierce, K., Courchesne, E., & Bacon, E. (2016). To screen or not to screen universally for autism is not the question: Why the task force got it wrong. The Journal of Pediatrics, 176, 182–194. https://doi.org/10.1016/j.jpeds.2016.06.004.CrossRefPubMedPubMedCentral

Powell, C. M. (2016). Autism screening or smoke screen and mirrors? JAMA Neurology, 73(4), 386. https://doi.org/10.1001/jamaneurol.2016.0126.CrossRefPubMedPubMedCentral

Régie de l’assurance maladie du Québec. (2015). Manuel de facturation. rémunération à l’acte. Table B-Tarification des visites. Régle de l’assurance maladie Quebec. Retrieved April 25, 2016 from http://www.ramq.gouv.qc.ca/fr/professionnels/medecins-specialistes/manuels/Pages/facturation.aspx.

Richards, C., Jones, C., Groves, L., Moss, J., & Oliver, C. (2015). Prevalence of autism spectrum disorder phenomenology in genetic disorders: A systematic review and meta-analysis. The Lancet Psychiatry, 2(10), 909–916. https://doi.org/10.1016/S2215-0366(15)00376-4.CrossRefPubMed

Robins, D., Adamson, L. B., Barton, M., Connell, J. E., Dumont-Mathieu, T., Dworkin, P. H., et al. (2016). Universal autism screening for toddlers: Recommendations at odds. Journal of Autism and Developmental Disorders, 46(5), 1880–1882. https://doi.org/10.1007/s10803-016-2697-5.CrossRefPubMedPubMedCentral

Robins, D., Fein, D., Barton, M. L., & Green, J. A. (2001). The Modified Checklist for Autism in Toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144.CrossRefPubMed

Sanders, G. D., Neumann, P. J., Basu, A., Brock, D. W., Feeny, D., Krahn, M., et al. (2016). Recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses: Second panel on cost-effectiveness in health and medicine. JAMA, 316(10), 1093. https://doi.org/10.1001/jama.2016.12195.CrossRefPubMed

Silverstein, M., & Radesky, J. (2016). Embrace the complexity: The US Preventive Services Task Force recommendation on screening for autism spectrum disorder. JAMA, 315(7), 661. https://doi.org/10.1001/jama.2016.0051.CrossRefPubMed

Siu, A. L., the US Preventive Services Task Force (USPSTF), Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., et al. (2016). Screening for autism spectrum disorder in young children: US Preventive Services Task Force recommendation statement. JAMA, 315(7), 691. https://doi.org/10.1001/jama.2016.0018.CrossRefPubMed

Sparrow, S., Balla, D., & Cicchetti, D. (2005). Vineland adaptive behavior scales (2nd edn.). Bloomington, MN: Pearson Assessment.

Statistics Canada. (2015a). Table 102–4505. Crude birth rate, age-specific and total fertility rates (live births), Canada, provinces and territories. Statistics Canada. Retrieved January 19, 2016 from http://www5.statcan.gc.ca/cansim/a26?lang=eng&id=1024505.

Statistics Canada. (2015b). Table 282–0074. Labour force survey estimates (LFS), wages of employees by job permanence, union coverage, sex and age group. Retrieved January 19, 2016 from http://www5.statcan.gc.ca/cansim/a26?lang=eng&id=2820074.

Veenstra-VanderWeele, J., & McGuire, K. (2016). Rigid, inflexible approach results in no recommendation for autism screening. JAMA Psychiatry, 73(4), 327. https://doi.org/10.1001/jamapsychiatry.2016.0143.CrossRefPubMed

Volkmar, F., Siegel, M., Woodbury-Smith, M., King, B., McCracken, J., & State, M. (2014). Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 53(2), 237–257. https://doi.org/10.1016/j.jaac.2013.10.013.CrossRef

Zwaigenbaum, L., Bauman, M. L., Choueiri, R., Kasari, C., Carter, A., Granpeesheh, D., et al. (2015). Early intervention for children with autism spectrum disorder nder 3 years of age: Recommendations for practice and research. Pediatrics, 136(Supplement), S60–S81. https://doi.org/10.1542/peds.2014-3667E.CrossRefPubMed

Zwaigenbaum, L., Bauman, M. L., Fein, D., Pierce, K., Buie, T., Davis, P. A., et al. (2015). Early screening of autism spectrum disorder: Recommendations for practice and research. Pediatrics, 136(Supplement), S41–S59. https://doi.org/10.1542/peds.2014-3667D.CrossRefPubMed

Zwaigenbaum, L., Bryson, S. E., Szatmari, P., Brian, J., Smith, I. M., Roberts, W., et al. (2012). Sex differences in children with autism spectrum disorder identified within a high-risk infant cohort. Journal of Autism and Developmental Disorders, 42(12), 2585–2596. https://doi.org/10.1007/s10803-012-1515-y.CrossRefPubMed

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

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 9/2018

A Comparison of Safety and Efficacy of Dexmedetomidine and Propofol in Children with Autism and Autism Spectrum Disorders Undergoing Magnetic Resonance Imaging

Brief Report: Memory for Self-Performed Actions in Adults with Autism Spectrum Disorder: Why Does Memory of Self Decline in ASD?

Addressing the Educational Needs of Children with Williams Syndrome: A Rather Neglected Area of Research?

Brief Report: Service Use and Associated Expenditures Among Adolescents with Autism Spectrum Disorder Transitioning to Adulthood

High Risk for Severe Emotional Dysregulation in Psychiatrically Referred Youth with Autism Spectrum Disorder: A Controlled Study

A Randomized Placebo-Controlled Cross-Over Pilot Study of Riluzole for Drug-Refractory Irritability in Autism Spectrum Disorder