Evidence map›Paper›PMID 24381364›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

A public health economic assessment of hospitals' cost to screen newborns for critical congenital heart disease.

Cora Peterson, Scott D Grosse, Jill Glidewell, Lorraine F Garg, Kim Van Naarden Braun, Mary M Knapp, Leslie M Beres, Cynthia F Hinton, Richard S Olney, Cynthia H Cassell

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
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  6. Medical genetics in developing countries in the Asia-Pacific region: challenges and opportunities.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Cora PetersonCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA ; Current affiliation: Centers for Disease Control and Prevention, National Center on Injury Prevention and Control, Atlanta, GA.
Scott D GrosseCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA.
Jill GlidewellCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA.
Lorraine F GargNew Jersey Department of Health, Division of Family Health Services, Special Child Health and Early Intervention Services, Trenton, NJ.
Kim Van Naarden BraunCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA ; New Jersey Department of Health, Division of Family Health Services, Special Child Health and Early Intervention Services, Trenton, NJ.
Mary M KnappNew Jersey Department of Health, Division of Family Health Services, Special Child Health and Early Intervention Services, Trenton, NJ.
Leslie M BeresNew Jersey Department of Health, Division of Family Health Services, Special Child Health and Early Intervention Services, Trenton, NJ.
Cynthia F HintonCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA.
Richard S OlneyCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA.
Cynthia H CassellCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCritical congenital heart disease (CCHD) was recently added to the U.S. Recommended Uniform Screening Panel for newborns. This evaluation aimed to estimate screening time and hospital cost per newborn screened for CCHD using pulse oximetry as part of a public health economic assessment of CCHD screening.

methodsA cost survey and time and motion study were conducted in well-newborn and special/intensive care nurseries in a random sample of seven birthing hospitals in New Jersey, where the state legislature mandated CCHD screening in 2011. The sample was stratified by hospital facility level, hospital birth census, and geographic location. At the time of the evaluation, all hospitals had conducted CCHD screening for at least four months.

resultsMean screening time per newborn was 9.1 (standard deviation = 3.4) minutes. Hospitals' total mean estimated cost per newborn screened was $14.19 (in 2011 U.S. dollars), consisting of $7.36 in labor costs and $6.83 in equipment and supply costs.

conclusionsThis federal agency-state health department collaborative assessment is the first state-level analysis of time and hospital costs for CCHD screening using pulse oximetry conducted in the U.S. Hospitals' cost per newborn screened for CCHD with pulse oximetry is comparable with cost estimates of existing newborn screening tests. Hospitals' equipment costs varied substantially based on the pulse oximetry technology employed, with lower costs among hospitals that used reusable screening sensors. In combination with estimates of screening accuracy, effectiveness, and avoided costs, information from this evaluation suggests that CCHD screening is cost-effective.

Indexed as

Hospital CostsCost-Benefit AnalysisHeart Defects, CongenitalHumansInfant, NewbornNeonatal ScreeningNew JerseyOximetryTime and Motion Studies

Identifiers

PMID24381364
PMCPMC3863008

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.