The cost-effectiveness of a school-based overweight program
The cost-effectiveness of a school-based overweight program
复制标题
DOI：
10.1186/1479-5868-4-47
复制
发表时间：
2007-10-01
影响因子：
8.7
通讯作者：
Rivera, Roberto
中科院分区：
文献类型：
--
作者：
Brown, Henry Shelton, III;Perez, Adriana;Rivera, Roberto
背景资料：本研究使用埃尔帕索试验的参数估计值评估了儿童健康协调方法（CATCH）干预计划的净效益和成本效益。使用了两种标准的经济措施。首先，从社会成本的角度，成本效益比（CER）进行了估计，揭示了干预成本每质量调整生命年（QURs）保存。使用国家健康访谈调查（NHIS）数据估计QALY权重。第二，CATCH的净效益（NB）进行了估计，比较避免未来成本的现值与CATCH干预的成本。使用国家健康和营养检查调查I（NHANES）和NHANES随访数据，我们预测了40-64岁的成年人肥胖病例的数量，避免了终身肥胖进展model.Results：结果表明，CATCH是成本效益和净效益。CER为900美元（使用西班牙裔参数为903美元），NB为68，125美元（使用西班牙裔参数为43，239美元），均以2004年美元计。这远远低于30，000美元的CER基准，也高于0美元的NB。两者都是强大的敏感性analysis.Conclusion：儿童以学校为基础的计划，如CATCH是有益的投资。当包括西班牙裔参数时，NB和CER都下降了，主要是由于西班牙裔的工资较低。然而，西班牙裔的NB和CER都在标准的成本效益和净效益阈值范围内。
Background: This study assesses the net benefit and the cost-effectiveness of the Coordinated Approach to Child Health (CATCH) intervention program, using parameter estimates from the El Paso trial. There were two standard economic measures used. First, from a societal perspective on costs, cost-effectiveness ratios (CER) were estimated, revealing the intervention costs per quality-adjusted life years (QALYs) saved. QALY weights were estimated using National Health Interview Survey (NHIS) data. Second, the net benefit (NB) of CATCH was estimated, which compared the present value of averted future costs with the cost of the CATCH intervention. Using National Health and Nutrition Examination Survey I (NHANES) and NHANES follow-up data, we predicted the number of adult obesity cases avoided for ages 40-64 with a lifetime obesity progression model.Results: The results show that CATCH is cost-effective and net beneficial. The CER was US$900 (US$903 using Hispanic parameters) and the NB was US$68,125 (US$43,239 using Hispanic parameters), all in 2004 dollars. This is much lower than the benchmark for CER of US$30,000 and higher than the NB of US$0. Both were robust to sensitivity analyses.Conclusion: Childhood school-based programs such as CATCH are beneficial investments. Both NB and CER declined when Hispanic parameters were included, primarily due to the lower wages earned by Hispanics. However, both NB and CER for Hispanics were well within standard cost-effectiveness and net benefit thresholds.