The cost of universal screening for gestational diabetes mellitus in Ireland
The cost of universal screening for gestational diabetes mellitus in Ireland
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DOI：
10.1111/j.1464-5491.2011.03293.x
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发表时间：
2011-08-01
影响因子：
3.5
通讯作者：
Dunne, F.
中科院分区：
文献类型：
--
作者：
Gillespie, P.;O'Neill, C.;Dunne, F.
目的：评估爱尔兰妊娠期糖尿病筛查的成本。方法：自下而上，基于患病率的成本分析。使用大西洋妊娠糖尿病（ATLANTIC DIP）数据库确定的医疗保健活动分为五类：筛查和检测，妊娠糖尿病治疗，产前护理，分娩护理和新生儿护理。将单位成本数据（2008年价格中的欧元）向量应用于指定的资源使用并计算总医疗保健成本。进行了一系列的单向和概率敏感性分析，探讨在analysis.Results的不确定性时，个别资源成分的价值和汇总，妊娠期糖尿病在爱尔兰的总医疗费用估计为（原文如此）12 433 320（95%CI（原文如此）9 298 228-16 778 193）。每例检测的平均成本为（原文如此）1621（95%CI（原文如此）524-2603）和每例检测和治疗的平均总成本为（原文如此）11 903（95%CI（原文如此）7645-16 121）。结论本研究提供了第一个估计与妊娠期糖尿病在爱尔兰的医疗费用。需要进一步研究，以确定该区域妊娠糖尿病筛查的成本效益，以期改善今后在这一领域的资源分配。
Aims To estimate the costs associated with universal screening for gestational diabetes mellitus in Ireland.Methods Bottom-up, prevalence-based cost analysis. Healthcare activity identified using the Atlantic Diabetes in Pregnancy (ATLANTIC DIP) database was grouped into five categories: screening and testing, gestational diabetes treatment, prenatal care, delivery care and neonatal care. A vector of unit cost data (euros in 2008 prices) was applied to specified resource use and the total healthcare cost calculated. A series of one-way and probabilistic sensitivity analyses were undertaken to explore the uncertainty in the analysis.Results When individual resource components were valued and aggregated, the total healthcare cost of gestational diabetes in Ireland was estimated at (sic)12 433 320 (95% CI (sic)9 298 228-16 778 193). The average cost per case detected was (sic)1621 (95% CI (sic)524-2603) and the average total cost per case detected and treated was (sic)11 903 (95% CI (sic)7645-16 121).Conclusions This research provides the first estimates of the healthcare costs associated with gestational diabetes mellitus in Ireland. Further research is required to determine the cost-effectiveness of gestational diabetes screening in the region with a view to improving resource allocation in this area in the future.