ArticleBJOG : an international journal of obstetrics and gynaecology2008
The long-term cost-effectiveness of fetal monitoring during labour: a comparison of cardiotocography complemented with ST analysis versus cardiotocography alone.
Article in BJOG : an international journal of obstetrics and gynaecology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Non-linear Methods Predominant in Fetal Heart Rate Analysis: A Systematic Review.Frontiers in medicine · 2021Pooled it
- Are we ready for widespread implementation of lactate POCT in fetal blood sampling? An analytical and clinical verification of the novel statstrip POCT analyzer.Practical laboratory medicine · 2024Article
- Article
- Does the Use of Diagnostic Technology Reduce Fetal Mortality?Health services research · 2018Article
- Open access intrapartum CTG database.BMC pregnancy and childbirth · 2014Review
- Time series analysis as input for clinical predictive modeling: modeling cardiac arrest in a pediatric ICU.Theoretical biology & medical modelling · 2011Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the cost-effectiveness of the use of cardiotocography (CTG) complemented with fetal electrocardiography and ST analysis compared with the use of CTG alone in term deliveries when a decision has been made to use fetal monitoring with a scalp electrode.
designA cost-effectiveness analysis based on a probabilistic decision model incorporating relevant strategies and lifelong outcomes.
settingMaternity wards in Sweden. POPULATION: Women with term fetuses after a clinical decision had been made to apply a fetal scalp electrode for internal CTG.
methodsA decision model was used to compare the costs and effects of two different treatment strategies. Baseline estimates were derived from the literature. Discounted costs and quality-adjusted life years (QALYs) were simulated over a lifetime horizon using a probabilistic model.
main outcome measuresQALYs, incremental costs, and cost per QALY gained expressed as incremental cost-effectiveness ratio (ICER).
resultsThe analysis found an incremental effect of 0.005 QALYs for ST analysis compared with CTG; the ST analysis strategy was also moreover associated with a euro56 decrease in costs, thus dominating the CTG strategy. The probability that ST analysis is cost-effective in comparison with CTG is high, irrespective of the willingness-to-pay value for a QALY.
conclusionsCompared with CTG alone, ST analysis is cost-effective when used in term high-risk deliveries in which there is a need for internal fetal monitoring.
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