The Cost-Effectiveness of School-Based Eating Disorder Screening

Datos Bibliográficos

ID11022697
AutoresDavene R Wright (0000-0002-8574-4572, Davene R. Wright is with the Department of Pediatrics, University of Washington School of Medicine, and the Center for Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle. S. Bryn Austin is with the Department of Social and Behavioral Sciences, Harvard School of Public Health, and the Division of Adolescent and Young Adult Medicine, Boston Children’s Hospital, Boston. Kendrin R. Sonneville is with the Department of Pediatrics, Harvard Medical School, and the Division...), B Austin (0000-0002-0830-5293, Boston Children's Hospital), S Bryn Austin (Davene R. Wright is with the Department of Pediatrics, University of Washington School of Medicine, and the Center for Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle. S. Bryn Austin is with the Department of Social and Behavioral Sciences, Harvard School of Public Health, and the Division of Adolescent and Young Adult Medicine, Boston Children’s Hospital, Boston. Kendrin R. Sonneville is with the Department of Pediatrics, Harvard Medical School, and the Division...), Hyunjin Noh (0000-0002-6503-3597, Boston Children's Hospital), H LeAnn Noh (Davene R. Wright is with the Department of Pediatrics, University of Washington School of Medicine, and the Center for Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle. S. Bryn Austin is with the Department of Social and Behavioral Sciences, Harvard School of Public Health, and the Division of Adolescent and Young Adult Medicine, Boston Children’s Hospital, Boston. Kendrin R. Sonneville is with the Department of Pediatrics, Harvard Medical School, and the Division...), Yushan Jiang (0000-0002-5096-1059, Davene R. Wright is with the Department of Pediatrics, University of Washington School of Medicine, and the Center for Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle. S. Bryn Austin is with the Department of Social and Behavioral Sciences, Harvard School of Public Health, and the Division of Adolescent and Young Adult Medicine, Boston Children’s Hospital, Boston. Kendrin R. Sonneville is with the Department of Pediatrics, Harvard Medical School, and the Division...), Kendrin R Sonneville (0000-0002-0359-3919, Davene R. Wright is with the Department of Pediatrics, University of Washington School of Medicine, and the Center for Child Health, Behavior, and Development, Seattle Children’s Research Institute, Seattle. S. Bryn Austin is with the Department of Social and Behavioral Sciences, Harvard School of Public Health, and the Division of Adolescent and Young Adult Medicine, Boston Children’s Hospital, Boston. Kendrin R. Sonneville is with the Department of Pediatrics, Harvard Medical School, and the Division...)
Año2014
Volumen104
Número9
Páginas1774-1782
Fecha de publicación2014-09-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302018
PMID25033131
OpenAlexW2134439646
IdiomaEN
Citas recibidas1
Referencias citadas53

Objectives. We aimed to assess the value of school-based eating disorder (ED) screening for a hypothetical cohort of US public school students. Methods. We used a decision-analytic microsimulation model to model the effectiveness (life-years with ED and quality-adjusted life-years [QALYs]), total direct costs, and cost-effectiveness (cost per QALY gained) of screening relative to current practice. Results. The screening strategy cost $2260 (95% confidence interval [CI] = $1892, $2668) per student and resulted in a per capita gain of 0.25 fewer life-years with ED (95% CI = 0.21, 0.30) and 0.04 QALYs (95% CI = 0.03, 0.05) relative to current practice. The base case cost-effectiveness of the intervention was $9041 per life-year with ED avoided (95% CI = $6617, $12 344) and $56 500 per QALY gained (95% CI = $38 805, $71 250). Conclusions. At willingness-to-pay thresholds of $50 000 and $100 000 per QALY gained, school-based ED screening is 41% and 100% likely to be cost-effective, respectively. The cost-effectiveness of ED screening is comparable to many other accepted pediatric health interventions, including hypertension screening

Cohort · Confidence interval · Cost effectiveness · Cost–benefit analysis · Disability-adjusted life year · Disease burden · Environmental health · Per capita · Population · Psychiatry · Psychological intervention · Public health · Quality-adjusted life year · Demography · Eating Disorders and Behaviors · Internal Medicine · Medicine · Obesity and Health Practices · Obesity, Physical Activity, Diet · Gerontology · Pediatrics