Evaluation of current guthrie TSH cut-off point in Iran congenital hypothyroidism screening program: A cost-effectiveness analysis

Archives of Iranian Medicine

Volumn 15, Issue 3, 2012, Pages 136-141

  Shamshiri, Ahmad Reza ^a   Yarahmadi, Shahin ^b   Forouzanfar, Mohammad Hossein ^c   Haghdoost, Ali Akbar ^d   Hamzehloo, Gholamreza ^a   Naieni, Kourosh Holakouie ^a,e  

^a TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^b MINISTRY OF HEALTH AND MEDICAL EDUCATION   (Iran)

^c UNIVERSITY OF WASHINGTON   (United States)

^d KERMAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^e Iranian Epidemiological Association   (Iran)

Author keywords

Congenital hypothyroidism; Cost benefit analysis; Neonatal screening; Quality adjusted life years; Thyrotropin

Indexed keywords

THYROTROPIN;

ARTICLE; COHORT ANALYSIS; CONGENITAL HYPOTHYROIDISM; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DRUG COST; EDUCATION; FALSE POSITIVE RESULT; GAINED DISABILITY ADJUSTED LIFE YEAR; HEALTH CARE CONCEPTS; HEALTH CARE COST; HEALTH PROGRAM; HUMAN; MAJOR CLINICAL STUDY; MONTE CARLO METHOD; NEWBORN; NEWBORN CARE; RECALL; SCREENING TEST; SENSITIVITY ANALYSIS;

COHORT STUDIES; CONGENITAL HYPOTHYROIDISM; COST-BENEFIT ANALYSIS; FALSE POSITIVE REACTIONS; HUMANS; INFANT, NEWBORN; IRAN; NEONATAL SCREENING; QUALITY-ADJUSTED LIFE YEARS; THYROTROPIN;

EID: 84857963197     PISSN: 10292977     EISSN: 17353947     Source Type: Journal    
DOI: None     Document Type: Article

References (25)

1. Azizi F, Oladi B, Nafarabadi M, Hajipour R. Screening for congenital hypothyroidism detection in Tehran: Effect of iodine deficiency on neonatal transient TSH rises. J Res Med Sci. 1994; 18(1): 34-38.
2. Osooli M, Haghdoost AA, Yarahmadi S, Foruzanfar MH, Dini M, Holakouie Naieni K. Spatial distribution of congenital hypothyroidism in Iran using Geographic Information System. Iranian Journal of Epidemiology. 2009; 5(1): 1-8.
3. Ordookhani A, Mirmiran P, Hajipour R, Hedayati M, Azizi F. Screening for congenital hypothyroidism in the Islamic Republic of Iran: Strategies, obstacles and future perspectives. East Mediterr Health J. 2002; 8: 480-489.
4. Hashemipour M, Dehkordi EH, Hovsepian S, Amini M, Hosseiny L. Outcome of congenitally hypothyroid screening program in Isfahan: Iran from prevention to treatment. Int J Prev Med. 2010; 1(2): 92-97.
5. Screening of Newborns for Congenital Hypothyroidism: Guidance for Developing Programmes. Vienna: International Atomic Energy Agency; 2005.
6. Main Health Indices (Persian). Management Centre of Statistics and Information Technology, Ministry of Health and Medical Education; Available from URL: http://it.behdasht.gov.ir/index.aspx?siteid=101&pageid=20609. Accessed: June 2011.
7. Deladoey J, Ruel J, Giguere Y, Van Vliet G. Is the incidence of congenital hypothyroidism really increasing? A 20-year retrospective population-based study in Quebec. J Clin Endocrinol Metab. 2011; 96(8): 2422-2429.
8. Mitchell ML, Hsu HW, Sahai I. The increased incidence of congenital hypothyroidism: Fact or fancy? Clin Endocrinol (Oxf). 2011; 75(6): 806-810.
9. Grosse SD. Does newborn screening save money? The difference between cost-effective and cost-saving interventions. J Pediatr. 2005; 146(2): 168-170.
10. Yarahmadi SH, Ali Mohammadzadeh KH, Tabibi SJ, Maleki MR. Presenting mathematics model of cost-benefit calculation of screening for congenital hypothyroidism in Iran. Int Math Forum. 2011; 6(14): 681-697.
11. Delavari AR, Yarahmadi S, Birjandi R, Mahdavi AR, Norouzi Nejad A, Dini M. Cost-benefit analysis of the neonatal screening program implementation for congenital hypothyroidism in I. R. Iran. Int J Endocrinol Metab. 2006; 4: 84-87.
12. Pollitt RJ, Green A, McCabe CJ, Booth A, Cooper NJ, Leonard JV, et al. Neonatal screening for inborn errors of metabolism: Cost, yield and outcome. Health Technol Assess. 1997; 1(7): 1-202.
13. Layde PM, Von Allmen SD, Oakley GP Jr. Congenital hypothyroidism control programs. A cost-benefit analysis. JAMA. 1979; 241(21): 2290-2292.
14. Geelhoed EA, Lewis B, Hounsome D, O'Leary P. Economic evaluation of neonatal screening for phenylketonuria and congenital hypothyroidism. J Paediatr Child Health. 2005; 41(11): 575-579.
15. Dhondt JL, Farriaux JP, Sailly JC, Lebrun T. Economic evaluation of cost-benefit ratio of neonatal screening procedure for phenylketonuria and hypothyroidism. J Inherit Metab Dis. 1991; 14(4): 633-639.
16. Delavari A, Yarahmadi S, Ordoukhani A, Norouzinejad A, Mahdavi Hezaveh N, Safaie A, et al. National Neonatal Screening: National Congenital Hypothyroidism Screening Program and Transient TSH Rising in Neonates. Tehran: Endocrine and Metabolic Office, Center for Disease Control, Ministry of Health and Medical Education; 2005.
17. Approved private schools' tuitions in Tehran. Department of Education in Tehran; 2010. Available from URL: http://shahrieh.tehranedu.ir/.[updated 2010] Accessed: 2011 May 1.
18. Naghavi M, Abolhassani F, Pourmalek F, Lakeh M, Jafari N, Vaseghi S, et al. The burden of disease and injury in Iran 2003. Popul Health Metr. 2009; 7: 9.
19. Pourmalek F, Abolhassani F, Naghavi M, Mohammad K, Majdzadeh R, Holakouie K, et al. Estimation of healthy life expectancy for Iran's population in year 1382 (2003). Hakim Research Journal. 2008; 10(4): 66-76.
20. Aghajani H. Identification of 6267 newborns with congenital hypothyroidism in Iran. Mehr News. 2009. Available from URL: http://www.mehrnews.com/fa/newsdetail.aspx?NewsID=884683. [updated 2009] Accessed: 2011 June 24.
21. Pryce RA, Gregory JW, Warner JT, John R, Bradley D, Evans C. Is the current threshold level for screening for congenital hypothyroidism too high? An audit of the clinical evaluation, confirmatory diagnostic tests and treatment of infants with increased blood spot thyroidstimulating hormone concentrations identified on newborn blood spot screening in Wales. Arch Dis Child. 2007; 92(11): 1048.
22. Barden HS, Kessel R. The costs and benefits of screening for congenital hypothyroidism in Wisconsin. Social Biology. 1984; 31: 185-200.
23. Smith P, Morris A. Assessment of a programme to screen the newborn for congenital hypothyroidism. Community Med. 1979; 1(1): 14-22.
24. Varma SK. Newborn screening for congenital hypothyroidism. Tex Med. 1979; 75(10): 57-60.
25. Ali Mohammadzadeh KH, Yarahmadi SH, Tabibi SJ, Nasiripour AA. Rate of saving health in program of screening for congenital hypothyroidism (CH) in Iran. Sci Res Essays 2011; 6(8): 1873-1876.