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The cost-effectiveness of prenatal detection for congenital heart disease using telemedicine screening
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Mistry, Hema and Gardiner, Helena M. (2013) The cost-effectiveness of prenatal detection for congenital heart disease using telemedicine screening. Journal of Telemedicine and Telecare, 19 (4). pp. 190-196. doi:10.1258/jtt.2012.120418 ISSN 1357-633X.
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Official URL: http://dx.doi.org/10.1258/jtt.2012.120418
Abstract
We estimated the longer-term cost-effectiveness of using telemedicine screening for prenatal detection of congenital heart disease (CHD). One hospital in south-east England with a telemedicine service was connected to a fetal cardiology unit in London. A UK health service perspective was adopted. Evidence on costs and outcomes for standard-risk pregnant women during the antenatal period was based on patient-level data. Extrapolation beyond the end of the study (just after delivery) was carried out for the lifetime of children born with and without CHD. Expert opinion and data from published sources was used to populate a decision model. Future costs and benefits were discounted. The main outcome was quality-adjusted life years (QALYs) and results were expressed as cost per QALY gained. Various one-way sensitivity analyses were conducted. The model showed that offering telemedicine screening by specialists to all standard-risk pregnant women was the dominant strategy (i.e. cheaper and more effective). The sensitivity analyses found that the model was robust, and that telemedicine remained the most cost-effective strategy. The study showed that it would be cost-effective to provide telemedicine examinations as part of an antenatal screening programme for all standard-risk women.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) > Warwick Evidence Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Journal of Telemedicine and Telecare | ||||||
| Publisher: | Royal Society of Medicine Press Ltd. | ||||||
| ISSN: | 1357-633X | ||||||
| Official Date: | 1 June 2013 | ||||||
| Dates: |
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| Volume: | 19 | ||||||
| Number: | 4 | ||||||
| Page Range: | pp. 190-196 | ||||||
| DOI: | 10.1258/jtt.2012.120418 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Description: | Published online before print |
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