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Article: Costs of school scoliosis screening: A large, population-based study
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TitleCosts of school scoliosis screening: A large, population-based study
 
AuthorsLee, CF1
Fong, DYT1
Cheung, KMC1
Cheng, JCY3
Ng, BKW2
Lam, TP3
Mak, KH
Yip, PSF1
Luk, KDK1
 
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
 
CitationSpine, 2010, v. 35 n. 26, p. 2266-2272 [How to Cite?]
DOI: http://dx.doi.org/10.1097/BRS.0b013e3181cbcc10
 
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.
 
ISSN0362-2436
2013 Impact Factor: 2.447
 
DOIhttp://dx.doi.org/10.1097/BRS.0b013e3181cbcc10
 
ISI Accession Number IDWOS:000285161300018
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).

 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorLee, CF
 
dc.contributor.authorFong, DYT
 
dc.contributor.authorCheung, KMC
 
dc.contributor.authorCheng, JCY
 
dc.contributor.authorNg, BKW
 
dc.contributor.authorLam, TP
 
dc.contributor.authorMak, KH
 
dc.contributor.authorYip, PSF
 
dc.contributor.authorLuk, KDK
 
dc.date.accessioned2010-12-23T08:38:56Z
 
dc.date.available2010-12-23T08:38:56Z
 
dc.date.issued2010
 
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.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationSpine, 2010, v. 35 n. 26, p. 2266-2272 [How to Cite?]
DOI: http://dx.doi.org/10.1097/BRS.0b013e3181cbcc10
 
dc.identifier.doihttp://dx.doi.org/10.1097/BRS.0b013e3181cbcc10
 
dc.identifier.epage2272
 
dc.identifier.hkuros178303
 
dc.identifier.hkuros196992
 
dc.identifier.isiWOS:000285161300018
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).

 
dc.identifier.issn0362-2436
2013 Impact Factor: 2.447
 
dc.identifier.issue26
 
dc.identifier.openurl
 
dc.identifier.pmid20531070
 
dc.identifier.scopuseid_2-s2.0-78650936470
 
dc.identifier.spage2266
 
dc.identifier.urihttp://hdl.handle.net/10722/129549
 
dc.identifier.volume35
 
dc.languageeng
 
dc.publisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.spinejournal.com
 
dc.publisher.placeUnited States
 
dc.relation.ispartofSpine
 
dc.relation.referencesReferences in Scopus
 
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 scoliosis
 
dc.subjectcost of screening
 
dc.subjectscoliosis screening program
 
dc.titleCosts of school scoliosis screening: A large, population-based study
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong
  2. Prince of Wales Hospital Hong Kong
  3. Chinese University of Hong Kong