TY - JOUR T1 - Cost-effectiveness analysis of a surveillance program to prevent hip dislocation in children with cerebral palsy JO - Gaceta Sanitaria T2 - AU - Vallejo-Torres,Laura AU - Rivero-Santana,Amado AU - Martin-Saborido,Carlos AU - Epstein,David AU - Perestelo-Pérez,Lilisbeth AU - Castellano-Fuentes,Carmen Luisa AU - Escobar-Martínez,Antonio AU - Serrano-Aguilar,Pedro SN - 02139111 M3 - 10.1016/j.gaceta.2019.05.005 DO - 10.1016/j.gaceta.2019.05.005 UR - https://www.gacetasanitaria.org/es-cost-effectiveness-analysis-surveillance-program-prevent-articulo-S0213911119301499 AB - ObjectiveIn this study we conducted an economic evaluation of a surveillance programme to prevent hip dislocation in children with cerebral palsy. MethodWe developed a model that compared costs and health outcomes of children with cerebral palsy with and without a surveillance programme. Information from a number of sources was combined into a decision analytical model, primarily based on data from a comparative study with a 20-year follow-up. Effectiveness was measured using Quality-Adjusted Life Years (QALYs). The analysis took the perspective of the Spanish National Health Service. We undertook extensive sensitivity analyses including a probabilistic sensitivity analysis. ResultsThe surveillance programme led to higher QALYs and higher health care costs, with an estimated incremental cost per QALY gained of 12,282€. The results were robust to model assumptions. The probability that the programme was cost-effective was estimated to be over 80% at the threshold of 25.000€/QALY recommended in Spain. ConclusionThis study indicates that surveillance programmes to prevent hip dislocation in children with cerebral palsy are likely to be cost-effective. ER -