Retinopathy of prematurity screening and treatment cost in Brazil
OBJECTIVE: To assess the additional cost of incorporating the detection and treatment of retinopathy of prematurity (ROP) into neonatal care services of Brazil's Unified Health System (SUS). METHODS: A deterministic decision-tree simulation model was built to estimate the direct costs of screen...
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ftdoajarticles:oai:doaj.org/article:52388a06536946ebbdd50dd8abae2adb 2023-05-15T15:12:21+02:00 Retinopathy of prematurity screening and treatment cost in Brazil Andrea A. Zin Cynthia Magluta Márcia F. T. Pinto Aline P. Entringer Maria A. Mendes-Gomes Maria E. L. Moreira Clare Gilbert 2014-07-01T00:00:00Z https://doaj.org/article/52388a06536946ebbdd50dd8abae2adb EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000600006&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/52388a06536946ebbdd50dd8abae2adb Revista Panamericana de Salud Pública, Vol 36, Iss 1, Pp 37-43 (2014) Costos y análisis de costo retinopatía de la prematuridad Brasil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles 2022-12-31T05:52:05Z OBJECTIVE: To assess the additional cost of incorporating the detection and treatment of retinopathy of prematurity (ROP) into neonatal care services of Brazil's Unified Health System (SUS). METHODS: A deterministic decision-tree simulation model was built to estimate the direct costs of screening for and treating ROP in neonatal intensive-care units (NICUs), based on data for 869 preterm infants with birth weight less than 1 500 g examined in six governmental NICUs in the capital city of Rio de Janeiro, where coverage was 52% and 8% of infants were treated. All of the parameters from this study were extrapolated to Brazilian newborn estimates in 2010. Costs of screening and treatment were estimated considering staff, equipment and maintenance, and training based on published data and expert opinion. A budget impact analysis was performed considering the population of preterm newborns, screening coverage, and the incidence of treatable ROP. One- and two-way sensitivity analyses were performed. RESULTS: In Rio de Janeiro, unit costs per newborn were US$ 18 for each examination, US$ 398 per treatment, and US$ 29 for training. The estimated cost of ROP diagnosis and treatment for all at-risk infants NICUs was US$ 80 per infant. The additional cost to the SUS for one year would be US$ 556 640 for a ROP program with 52% coverage, increasing to US$ 856 320 for 80% coverage, and US$ 1.07 million or 100% coverage. CONCLUSIONS: The results of this study indicate that providing ROP care is affordable within the framework of the SUS in Brazil, and might be feasible elsewhere in Latin America, considering the evidence of the effectiveness of ROP treatment and the social benefits achieved. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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Costos y análisis de costo retinopatía de la prematuridad Brasil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Costos y análisis de costo retinopatía de la prematuridad Brasil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Andrea A. Zin Cynthia Magluta Márcia F. T. Pinto Aline P. Entringer Maria A. Mendes-Gomes Maria E. L. Moreira Clare Gilbert Retinopathy of prematurity screening and treatment cost in Brazil |
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Costos y análisis de costo retinopatía de la prematuridad Brasil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To assess the additional cost of incorporating the detection and treatment of retinopathy of prematurity (ROP) into neonatal care services of Brazil's Unified Health System (SUS). METHODS: A deterministic decision-tree simulation model was built to estimate the direct costs of screening for and treating ROP in neonatal intensive-care units (NICUs), based on data for 869 preterm infants with birth weight less than 1 500 g examined in six governmental NICUs in the capital city of Rio de Janeiro, where coverage was 52% and 8% of infants were treated. All of the parameters from this study were extrapolated to Brazilian newborn estimates in 2010. Costs of screening and treatment were estimated considering staff, equipment and maintenance, and training based on published data and expert opinion. A budget impact analysis was performed considering the population of preterm newborns, screening coverage, and the incidence of treatable ROP. One- and two-way sensitivity analyses were performed. RESULTS: In Rio de Janeiro, unit costs per newborn were US$ 18 for each examination, US$ 398 per treatment, and US$ 29 for training. The estimated cost of ROP diagnosis and treatment for all at-risk infants NICUs was US$ 80 per infant. The additional cost to the SUS for one year would be US$ 556 640 for a ROP program with 52% coverage, increasing to US$ 856 320 for 80% coverage, and US$ 1.07 million or 100% coverage. CONCLUSIONS: The results of this study indicate that providing ROP care is affordable within the framework of the SUS in Brazil, and might be feasible elsewhere in Latin America, considering the evidence of the effectiveness of ROP treatment and the social benefits achieved. |
format |
Article in Journal/Newspaper |
author |
Andrea A. Zin Cynthia Magluta Márcia F. T. Pinto Aline P. Entringer Maria A. Mendes-Gomes Maria E. L. Moreira Clare Gilbert |
author_facet |
Andrea A. Zin Cynthia Magluta Márcia F. T. Pinto Aline P. Entringer Maria A. Mendes-Gomes Maria E. L. Moreira Clare Gilbert |
author_sort |
Andrea A. Zin |
title |
Retinopathy of prematurity screening and treatment cost in Brazil |
title_short |
Retinopathy of prematurity screening and treatment cost in Brazil |
title_full |
Retinopathy of prematurity screening and treatment cost in Brazil |
title_fullStr |
Retinopathy of prematurity screening and treatment cost in Brazil |
title_full_unstemmed |
Retinopathy of prematurity screening and treatment cost in Brazil |
title_sort |
retinopathy of prematurity screening and treatment cost in brazil |
publisher |
Pan American Health Organization |
publishDate |
2014 |
url |
https://doaj.org/article/52388a06536946ebbdd50dd8abae2adb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 36, Iss 1, Pp 37-43 (2014) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000600006&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/52388a06536946ebbdd50dd8abae2adb |
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1766343046444613632 |