Evidence map›Paper›PMID 40396435›Full record

Observational studyPediatric pulmonology2025

Newborn Screening for Cystic Fibrosis Is Associated With the Lowest Healthcare Costs: A 10-Year Observational Follow-Up Study in France.

Erika Guyot, Floriane Deygas, Manon Belhassen, Marjorie Berard, Eric Van Ganse, Isabelle Sermet-Gaudelus, Sabrine Tiaiba, Jean-Christophe Dubus, Isabelle Durieu, Philippe Reix

Abstract readObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Estimation of care costs for individuals with cystic fibrosis at a referral center: cohort study, Salvador, 2005-2022.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
    Article
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.

Erika GuyotPELyon, PharmacoEpidémiologie Lyon, Lyon, France.
Floriane DeygasPELyon, PharmacoEpidémiologie Lyon, Lyon, France.
Manon BelhassenPELyon, PharmacoEpidémiologie Lyon, Lyon, France.
Marjorie BerardPELyon, PharmacoEpidémiologie Lyon, Lyon, France.
Eric Van GansePELyon, PharmacoEpidémiologie Lyon, Lyon, France.
Isabelle Sermet-GaudelusCentre de Reference de la Mucoviscidose et Maladies Apparentées, Hôpital Necker Enfants Malades, Paris, France.ORCID https://orcid.org/0000-0001-5537-9482
Sabrine TiaibaService de pédiatrie, Centre Hospitalier Universitaire, Saint Etienne, France.
Jean-Christophe DubusCentre de Ressources et de Compétences pour la Mucoviscidose pédiatrique, Service de pneumologie pédiatrique, La Timone, Marseille, France.
Isabelle DurieuRESearch on HealthcAre PErformance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
Philippe ReixCentre de Ressources et de Compétences pour la Mucoviscidose pédiatrique, Service de pneumologie pédiatrique, Hôpital Femme Mère-Enfant, Hospices Civils de Lyon, Bron, France.ORCID https://orcid.org/0000-0002-9192-8335

Funding

This study was supported by the French patient organization "Vaincre La Mucoviscidose", which participated in providing data from the French Registry, in the interpretation of data (RC20220502991). The results of this study were submitted as abstracts to the 47th ECFS meeting (Glasgow) and 2024 ERS meeting (Vienna) and have been accepted as posters.
6 · The paper itself

Abstract

objectivesThis study aims to study the healthcare (HC) costs associated with cystic fibrosis (CF) in children diagnosed prenatally (ANT), through newborn screening (NBS), after birth due to meconium ileus (MI), or later based on symptoms (LS). Additionally, it seeks to clinically characterize children with CF (chCF) with different trajectories of HC costs. STUDY

designA retrospective observational study was conducted on data from the French CF Registry (FCFR) and the French National Claims Database (SNDS) linked from 2006 to 2021. HC costs related to CF diagnosis circumstances were estimated per year of life among chCF up to age 10. Group-based trajectory modeling was performed to identify subgroups with similar cost trajectories.

resultsBetween 2006 and 2011, data from 1065 chCF were recorded in the FCFR. Nine hundred seventy-three (91.4%) were matched with SNDS, and 779 (73.1%) had at least 10 years of follow-up. During the first year, HC costs of chCF diagnosed with NBS were lower than for those diagnosed with MI and ANT (all p < 0.05). However, by the tenth year HC were no longer different between groups. Three groups with different cost trajectories were identified. Groups with the highest costs had a lower lung function at 6 and 10 years and the lowest weight and height z-scores at 2 and 10 years (all p < 0.05).

conclusionNBS is associated with the lowest HC costs during the first year of life.

Indexed as

Cystic FibrosisHealth Care CostsNeonatal ScreeningChildChild, PreschoolFemaleFollow-Up StudiesFranceHumansInfantInfant, NewbornMaleMeconium IleusRegistriesRetrospective StudiesCFTR modulatorcost trajectoriesfrench cystic fibrosis registryhealth claims datanewborn screening

Identifiers

PMID40396435
PMCPMC12093448

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.