Screening for spina bifida cystica. A cost-benefit analysis.
نویسندگان
چکیده
The costs and economic benefits are examined of introducing a programme for the mass-screening of pregnancies for the detection and abortion of fetuses with spina bifida cystica. A benefit-cost index is derived, and the possible effects on it of making different input assumptions are discussed. It is considered that, on economic grounds, screening may be worthwhile only in populations in which the incidence of spina bifida is high.
منابع مشابه
Spina bifida cystica. Results of treatment of 270 consecutive cases with criteria for selection for the future.
Lorber, J. (1972). Archives of Disease in Childhood, 47, 854. Spina bifida cystica: results of treatment of 270 consecutive cases with criteria for selection for the future. The disappointing results of treatment in 270 consecutive unselected cases of spina bifida admitted during a 27-month period are detailed. Massive effort has led to much avoidable suffering at an exorbitant cost in manpower...
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Meningitis is a well-known complication of meningomyelocele, but the problems of its diagnosis and treatment have so far received scant attention. Some children with meningomyelocele have a small neurological deficit and no hydrocephalus. Others with hydrocephalus may benefit from modern treatment and grow up to lead normal lives. The problem of meningitis in meningomyelocele is, therefore, wor...
متن کاملSpina bifida cystica. Incidence of spina bifida occulta in parents and in controls.
It has been shown in an earlier paper (Lorber, 1965) dealing with the family history of 722 infants born with spina bifida cystica or encephalocele, that 6 8% of 1256 sibs were also affected, either by the same condition or by the closely allied lesions of anencephaly or congenital hydrocephalus. This high incidence in sibs is suggestive of hereditary factors playing a part in the causation of ...
متن کاملStudies in Spina Bifida Cystica
Nicolai Tulp, the physician whose features are immortalized in Rembrandt's painting 'The School of Anatomy', first suggested the name 'spina bifida' (Tulpius, 1652), though the condition was known to Hippocrates, and the mediaeval Arab physicians are said (Denuce, 1906) to have specifically recognized the absence of the spinous processes in the affected area. Ruysch (1691) distinguished between...
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ورودعنوان ژورنال:
- British journal of preventive & social medicine
دوره 30 1 شماره
صفحات -
تاریخ انتشار 1976