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Maternal serum alpha-fetoprotein screening

A cost-benefit analysis

Bibliographic Data

ID11025569
AuthorsPeter M Layde, S D von Allmen, Godfrey P Oakley (0000-0003-2185-3929)
Year1979
Volume69
Issue6
Pages566-573
Publication date1979-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.69.6.566
PMID87134
OpenAlexW2096260031
LanguageEN
Citations received5
References cited12

The prenatal detection of fetal neural tube defects (NTD) is now possible by means of a multi-tiered program utilizing maternal serum alpha-fetoprotein (MSAFP) screening coupled with ultrasonography and amniocentesis where indicated. This paper considers the economic consequences of screening for fetal NTD a theoretical cohort of 100,000 pregnant women at risk of having an affected fetus who would elect to terminate their pregnancies if an affected fetus were found. The cost of the program was balanced against the benefits of the program, such as the averted costs of institutionalization, medical care, and the like. The total cost of the program to screen 100,000 such women was calculated to be $2,047,780, or slightly over $20 per woman screened, while the total economic benefits exceeded $4,000,000

Amniocentesis · Biology · Cohort · Cost effectiveness · Cost–benefit analysis · Environmental health · Fetus · Gynecology · Neural tube defect · Obstetrics · Population · Pregnancy · Prenatal care · Prenatal diagnosis · Internal Medicine · Medicine · Prenatal Screening and Diagnostics · Pediatrics

  • A Cost-Effectiveness Analysis of Amniocentesis and Chorionic Villus Sampling for Prenatal Genetic Testing

    Paul S Heckerling, Marion S Verp•Medical Care•1994

  • Cost-Justification Analysis of Prenatal Maternal Serum Alpha-feto Protein Screening

    Stephen H Taplin, Rory Sascha Thompson et al.•Medical Care•1988

  • Measuring the benefits of screening for open neural tube defects

    John B Henderson•Journal of Epidemiology and…•1982

  • Alpha-fetoprotein and the prenatal detection of neural tube defects

    A Milunsky•American Journal of Public Health•1979

  • An economic appraisal of the benefits of screening for open spina bifida

    Open Access•John B Henderson•Social Science & Medicine•1982

  • Spina Bifida

    Robert Reid, Robert L Reid•The Hastings Center Report•1977

  • Screening for spina bifida cystica. A cost-benefit analysis

    Spencer Hagard, F Carter et al.•Journal of Epidemiology and…•1976

Unique citing works5
Citations per year0,11
Citation span1979 - 1994 (16)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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