Title |
Cost-Effectiveness of Universal or High-Risk Screening Compared to Surveillance Monitoring in Autism Spectrum Disorder
|
---|---|
Published in |
Journal of Autism and Developmental Disorders, April 2018
|
DOI | 10.1007/s10803-018-3571-4 |
Pubmed ID | |
Authors |
Tracy Yuen, Melissa T. Carter, Peter Szatmari, Wendy J. Ungar |
Abstract |
The American Academy of Pediatrics recommends universal screening for autism spectrum disorder at 18 and 24 months. This study compared the cost-effectiveness of universal or high-risk screening to surveillance monitoring. Simulation models estimated the costs and outcomes from birth to age 6 years. The incremental cost per child diagnosed by 36 months was $41,651.6 for high-risk screening and $757,116.9 for universal screening from the societal perspective. Universal screening may not be a cost-effective approach to increase earlier treatment initiation, as most children initiated treatment after age 60 months. Eliminating wait times resulted in more children initiated treatment by 48 months, but at a high initial cost that may be offset by future cost-savings related to better outcomes. |
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Canada | 2 | 22% |
Spain | 1 | 11% |
Mexico | 1 | 11% |
Unknown | 5 | 56% |
Demographic breakdown
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Scientists | 2 | 22% |
Mendeley readers
Geographical breakdown
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Unknown | 85 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 14 | 16% |
Student > Master | 13 | 15% |
Student > Bachelor | 11 | 13% |
Student > Ph. D. Student | 7 | 8% |
Student > Doctoral Student | 3 | 4% |
Other | 8 | 9% |
Unknown | 29 | 34% |
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Medicine and Dentistry | 11 | 13% |
Nursing and Health Professions | 5 | 6% |
Social Sciences | 4 | 5% |
Biochemistry, Genetics and Molecular Biology | 3 | 4% |
Other | 10 | 12% |
Unknown | 32 | 38% |