Evaluation of the economic impact of modified screening criteria for retinopathy of prematurity from the Postnatal Growth and ROP (G-ROP) study.

Publication/Presentation Date

7-1-2020

Abstract

IMPORTANCE: The Postnatal Growth and Retinopathy of Prematurity (G-ROP) Study showed that the addition of postnatal weight gain to birth weight and gestational age detects similar numbers of infants with ROP, but requires examination of fewer infants.

OBJECTIVE: To determine the incremental cost-effectiveness of screening with G-ROP compared with conventional screening.

DESIGN, SETTING AND PARTICIPANTS: We built a microsimulation model of a 1-year US birth cohortgestation, using data from the G-ROP study. We obtained resource utilization estimates from the G-ROP dataset and from secondary sources, and test characteristics from the G-ROP cohort.

RESULTS: Among 78,281 infants nationally, screening with G-ROP detected ~25 additional infants with Type 1 ROP. This was accomplished with 36,233 fewer examinations, in 14,073 fewer infants, with annual cost savings of approximately US$2,931,980 through hospital discharge.

CONCLUSIONS: Screening with G-ROP reduced costs while increasing the detection of ROP compared with current screening guidelines.

Volume

40

Issue

7

First Page

1100

Last Page

1108

ISSN

1476-5543

Disciplines

Medicine and Health Sciences | Pediatrics

PubMedID

32111976

Department(s)

Department of Pediatrics

Document Type

Article

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