Article: Costs of school scoliosis screening: A large, population-based study

TitleCosts of school scoliosis screening: A large, population-based study
Authors
Keywordsadolescent idiopathic scoliosis
cost of screening
scoliosis screening program
Issue Date2010
PublisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.spinejournal.com
Citation
Spine, 2010, v. 35 n. 26, p. 2266-2272 How to Cite?
AbstractStudy Design.: This was a population-based retrospective study. Objective.: To fully estimate the costs of the Hong Kong scoliosis screening program through a large, population-based study. Summary of Background Data.: School screening for scoliosis has often been criticized for having high costs. In fact, the screening cost that has reported varied widely, from less than 1 to more than 30 US dollars (USD) per child screened. This variation is mainly due to the incomplete inclusion of cost items. Methods.: We examined the screening and medical histories of a cohort of 115,190 screened students who were in Grade 5 in 1995/96 or 1996/97. The average costs spent on screening, diagnosing, following, and treating this cohort of students were calculated. Results.: The total expenses in the screening centers increased steadily from USD 380,930 in 1995/96 to USD 2,417,824 in 2005/06. Based on the 115,190 students who were followed up until they were 19 years old or they left school, the costs of screening and diagnosing 1 student during adolescence were USD 17.94 and USD 2.08, respectively. Of the 1311 referrals who attended the specialist hospitals for diagnosis, 264 and 39 had been braced and operated on, respectively. The medical care cost averaged USD 34.61 per student screened. The cost of finding 1 student with a curvature ≥20° and 1 treated case were USD 4475.67 and USD 20,768.29 respectively. Conclusion.: This was the largest study that has evaluated school scoliosis screening on students who were followed during their adolescence and accounted for all relevant costs. The cost per student screened in the scoliosis screening program in Hong Kong was comparable to that in Rochester, which had a similar protocol and was evaluated in a similar manner. The estimated costs can help the policy makers when they allocate healthcare resources. © 2010, Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/129549
ISSN
2015 Impact Factor: 2.439
2015 SCImago Journal Rankings: 1.459
ISI Accession Number ID
Funding AgencyGrant Number
Central Policy Unit of the Government of the Hong Kong Special Administrative Region
Research Grants Council of the Hong Kong Special Administrative Region, ChinaHKU 7006-PPR-20051
Funding Information:

Supported by the Central Policy Unit of the Government of the Hong Kong Special Administrative Region and the Research Grants Council of the Hong Kong Special Administrative Region, China (Project number: HKU 7006-PPR-20051).

References

 

DC FieldValueLanguage
dc.contributor.authorLee, CFen_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorCheung, KMCen_HK
dc.contributor.authorCheng, JCYen_HK
dc.contributor.authorNg, BKWen_HK
dc.contributor.authorLam, TPen_HK
dc.contributor.authorMak, KHen_HK
dc.contributor.authorYip, PSFen_HK
dc.contributor.authorLuk, KDKen_HK
dc.date.accessioned2010-12-23T08:38:56Z-
dc.date.available2010-12-23T08:38:56Z-
dc.date.issued2010en_HK
dc.identifier.citationSpine, 2010, v. 35 n. 26, p. 2266-2272en_HK
dc.identifier.issn0362-2436en_HK
dc.identifier.urihttp://hdl.handle.net/10722/129549-
dc.description.abstractStudy Design.: This was a population-based retrospective study. Objective.: To fully estimate the costs of the Hong Kong scoliosis screening program through a large, population-based study. Summary of Background Data.: School screening for scoliosis has often been criticized for having high costs. In fact, the screening cost that has reported varied widely, from less than 1 to more than 30 US dollars (USD) per child screened. This variation is mainly due to the incomplete inclusion of cost items. Methods.: We examined the screening and medical histories of a cohort of 115,190 screened students who were in Grade 5 in 1995/96 or 1996/97. The average costs spent on screening, diagnosing, following, and treating this cohort of students were calculated. Results.: The total expenses in the screening centers increased steadily from USD 380,930 in 1995/96 to USD 2,417,824 in 2005/06. Based on the 115,190 students who were followed up until they were 19 years old or they left school, the costs of screening and diagnosing 1 student during adolescence were USD 17.94 and USD 2.08, respectively. Of the 1311 referrals who attended the specialist hospitals for diagnosis, 264 and 39 had been braced and operated on, respectively. The medical care cost averaged USD 34.61 per student screened. The cost of finding 1 student with a curvature ≥20° and 1 treated case were USD 4475.67 and USD 20,768.29 respectively. Conclusion.: This was the largest study that has evaluated school scoliosis screening on students who were followed during their adolescence and accounted for all relevant costs. The cost per student screened in the scoliosis screening program in Hong Kong was comparable to that in Rochester, which had a similar protocol and was evaluated in a similar manner. The estimated costs can help the policy makers when they allocate healthcare resources. © 2010, Lippincott Williams & Wilkins.en_HK
dc.languageengen_US
dc.publisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.spinejournal.comen_HK
dc.relation.ispartofSpineen_HK
dc.rightsThis is a non-final version of an article published in final form in Spine, 2010, v. 35 n. 26, p. 2266-2272-
dc.subjectadolescent idiopathic scoliosisen_HK
dc.subjectcost of screeningen_HK
dc.subjectscoliosis screening programen_HK
dc.titleCosts of school scoliosis screening: A large, population-based studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0362-2436&volume=35&issue=26&spage=2266&epage=2272&date=2010&atitle=Costs+of+school+scoliosis+screening:+a+large,+population-based+studyen_US
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.emailCheung, KMC: cheungmc@hku.hken_HK
dc.identifier.emailYip, PSF: sfpyip@hku.hken_HK
dc.identifier.emailLuk, KDK: hcm21000@hku.hken_HK
dc.identifier.authorityFong, DYT=rp00253en_HK
dc.identifier.authorityCheung, KMC=rp00387en_HK
dc.identifier.authorityYip, PSF=rp00596en_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/BRS.0b013e3181cbcc10en_HK
dc.identifier.pmid20531070-
dc.identifier.scopuseid_2-s2.0-78650936470en_HK
dc.identifier.hkuros178303en_US
dc.identifier.hkuros196992-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78650936470&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume35en_HK
dc.identifier.issue26en_HK
dc.identifier.spage2266en_HK
dc.identifier.epage2272en_HK
dc.identifier.isiWOS:000285161300018-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLee, CF=36015342400en_HK
dc.identifier.scopusauthoridFong, DYT=35261710300en_HK
dc.identifier.scopusauthoridCheung, KMC=7402406754en_HK
dc.identifier.scopusauthoridCheng, JCY=9942890200en_HK
dc.identifier.scopusauthoridNg, BKW=7101727344en_HK
dc.identifier.scopusauthoridLam, TP=7202523234en_HK
dc.identifier.scopusauthoridMak, KH=8623141300en_HK
dc.identifier.scopusauthoridYip, PSF=7102503720en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats