PMID: 108409May 25, 1979

Congenital hypothyroidism control programs. A cost-benefit analysis

JAMA : the Journal of the American Medical Association
P M LaydeG P Oakley


Comprehensive screening programs to control congenital hypothyroidism (CH), a preventable form of mental retardation, are being considered by some public health agencies. The proposed programs would test neonates' blood for thyroxine and, if warranted, provide follow-up testing and therapy. The estimated cost of detecting a single case of CH is $9,300, which includes specimen collection, laboratory analysis, and retesting of border-line cases. The present value of the treatment costs of CH adds $2,500 per case, a total cost of $11,800 per case detected and child treated. The economic benefits (averted costs of institutionalization and special education and increased productivity of the affected person) are estimated to have a present value of $105,000 per case, yielding a cost-benefit ratio of 1:8.9.


Jul 1, 1982·Indian Journal of Pediatrics·M S Laxmi Narayan
Jan 1, 1983·Critical Reviews in Clinical Laboratory Sciences·T D Trainer, P L Howard
May 28, 2013·The Journal of Pediatrics·Stephanie SisleyPhilippe Backeljauw
Feb 1, 1986·Australian Paediatric Journal·L C LowC Y Yeung
Oct 1, 1985·Theoretical Medicine·E H Morreim

Related Concepts

Cost Effectiveness
Endemic Cretinism
Education of Intellectually Disabled
Institutionalized Persons
Life Extension
Profound Mental Retardation

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