TY - JOUR
T1 - Análisis de costoefectividad de la oximetría de pulso como prueba de detección de las cardiopatías congénitas críticas en México
AU - García-Benítez, Luis Antonio
AU - Granados-García, Víctor
AU - Agudelo-Botero, Marcela
AU - Mier-Martínez, Moisés
AU - Palacios-Macedo, Alexis
AU - Durán-Arenas, Luis
N1 - Publisher Copyright:
© 2022
PY - 2022
Y1 - 2022
N2 - Objective. To carry out a cost-effectiveness analysis of pulse oximetry as a newborn screening test for critical congenital heart defects (CCHD) in Mexico. Materials and methods. Economic evaluation study was conducted from the perspective of the health care provider. A decision tree model was used to compare between physical examination alone and pulse oximetry screening (POS) as an additional test to physical examination. Results. For every 10 000 newborns, the alternative with POS detected an additional 32 cases of CCHD, with an incremental cost-effectiveness ratio of USD 1 219, and at a willingness-to-pay threshold of USD 25 000 for each early detection, the probability of cost-effectiveness is more than 90%. Conclusion. The cost-effectiveness of POS, as a newborn screening for CCHD, is higher in Mexico than in high-income countries, and represents a cost-effective investment to gain years of life in the child population of Mexico.
AB - Objective. To carry out a cost-effectiveness analysis of pulse oximetry as a newborn screening test for critical congenital heart defects (CCHD) in Mexico. Materials and methods. Economic evaluation study was conducted from the perspective of the health care provider. A decision tree model was used to compare between physical examination alone and pulse oximetry screening (POS) as an additional test to physical examination. Results. For every 10 000 newborns, the alternative with POS detected an additional 32 cases of CCHD, with an incremental cost-effectiveness ratio of USD 1 219, and at a willingness-to-pay threshold of USD 25 000 for each early detection, the probability of cost-effectiveness is more than 90%. Conclusion. The cost-effectiveness of POS, as a newborn screening for CCHD, is higher in Mexico than in high-income countries, and represents a cost-effective investment to gain years of life in the child population of Mexico.
KW - Cost-benefit analysis
KW - análisis costo-beneficio
KW - cardiopatías congénitas
KW - congenital
KW - heart defects
KW - neonatal screening
KW - oximetry
KW - oximetría
KW - tamiz neonatal
UR - http://www.scopus.com/inward/record.url?scp=85134064089&partnerID=8YFLogxK
U2 - 10.21149/13553
DO - 10.21149/13553
M3 - Artículo
C2 - 36130362
AN - SCOPUS:85134064089
SN - 0036-3634
VL - 64
SP - 377
EP - 384
JO - Salud Publica de Mexico
JF - Salud Publica de Mexico
IS - 4
ER -