TY - JOUR
T1 - Evaluation of the economic impact of modified screening criteria for retinopathy of prematurity from the Postnatal Growth and ROP (G-ROP) study
AU - the G-ROP Study Group
AU - Zupancic, John A.F.
AU - Ying, Gui shuang
AU - de Alba Campomanes, Alejandra
AU - Tomlinson, Lauren A.
AU - Binenbaum, Gil
AU - Binenbaum, Gil
AU - Tomlinson, Lauren A.
AU - Duros, Trang B.
AU - Nguyen, Anh
AU - Ying, Gui shuang
AU - Maguire, Maureen G.
AU - Brightwell-Arnold, Mary
AU - Shaffer, James
AU - Yu, Yinxi
AU - Blanco, Maria
AU - Brown, Trina
AU - Helker, Christopher P.
AU - Hutchinson, Amy
AU - Young, Carrie
AU - McCourt, Emily
AU - Lynch, Anne
AU - Cathcart, Jennifer
AU - Cerda, Ashlee
AU - Bonnell, Levi
AU - Thevarajah, Tamara
AU - Barry, Gerard P.
AU - Fisher, Marilyn
AU - Battaglia, Maria V.
AU - Drach, Alex M.
AU - Hughes, Kevin
AU - Chinnakaruppan, Nachammai
AU - Meyer, Andrew
AU - Gogal, Christina
AU - Beitler, Cynthia
AU - Centolanza, Lauri
AU - Moyer, Keith T.
AU - Sobotor, Mary
AU - Donohue, Pamela
AU - Repka, Michael X.
AU - Shepard, Jennifer A.
AU - Doherty, Megan
AU - Reynolds, James D.
AU - Connelly, Erin
AU - Cheeseman, Edward
AU - Shirer, Kinsey
AU - Bradham, Carol
AU - McAlpine, Allison
AU - Anderson, Jill
AU - Areaux, Raymond G.
AU - Holleschau, Ann Marie
N1 - Publisher Copyright:
© 2020, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2020/7/1
Y1 - 2020/7/1
N2 - 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 cohort <32 weeks gestation, 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.
AB - 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 cohort <32 weeks gestation, 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.
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U2 - 10.1038/s41372-020-0605-5
DO - 10.1038/s41372-020-0605-5
M3 - Article
C2 - 32111976
AN - SCOPUS:85081324359
SN - 0743-8346
VL - 40
SP - 1100
EP - 1108
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 7
ER -