Dataset Information

Costs and effects of conventional vision screening and photoscreening in the Dutch preventive child health care system.

ABSTRACT:

Background

Little is known about costs and effects of vision screening strategies to detect amblyopia. Aim of this study was to compare costs and effects of conventional (optotype) vision screening, photoscreening or a combination in children aged 3-6?years.

Methods

Population-based, cross-sectional study in preventive child health care in The Hague. Children aged 3?years (3y), 3?years?and?9?months (3y9m) or 5-6?years (5/6y) received the conventional chart vision screening and a test with a photoscreener (Plusoptix S12C). Costs were based on test duration and additional costs for devices and diagnostic work-up.

Results

Two thousand, one hundred and forty-four children were included. The estimated costs per child screened were €17.44, €20.37 and €6.90 for conventional vision screening at 3y, 3y9m and 5/6y, respectively. For photoscreening, these estimates were €6.61, €7.52 and €9.40 and for photoscreening followed by vision screening if the result was unclear (combination) €9.32 (3y) and €9.33 (3y9m). The number of children detected with amblyopia by age were 9, 14 and 5 (conventional screening), 6, 13 and 3 (photoscreening) and 10 (3y) and 15 (3y9m) (combination), respectively. The estimated costs per child diagnosed with amblyopia were €1500, €1050 and €860 for conventional vision screening, €860, €420 and €1940 for photoscreening and €730 (3y) and €450 (3y9m) for the combination.

Conclusions

Combining photoscreening with vision screening seems promising to detect amblyopia in children aged 3y/3y9m, whereas conventional screening seems preferable at 5/6y. As the number of study children with amblyopia is small, further research on the effects of these screening alternatives in detecting children with amblyopia is recommended.

SUBMITTER: Van der Ploeg CPB

PROVIDER: S-EPMC7851894 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Publications

Costs and effects of conventional vision screening and photoscreening in the Dutch preventive child health care system.

Van der Ploeg Catharina P B CPB Grevinga Manon M Eekhout Iris I Vlasblom Eline E Lanting Caren I CI van Minderhout H M Ellen HME van Dijk-van der Poel Jolande J van den Akker-van Marle M Elske ME Verkerk Paul H PH

European journal of public health 20210201 1

<h4>Background</h4>Little is known about costs and effects of vision screening strategies to detect amblyopia. Aim of this study was to compare costs and effects of conventional (optotype) vision screening, photoscreening or a combination in children aged 3-6 years.<h4>Methods</h4>Population-based, cross-sectional study in preventive child health care in The Hague. Children aged 3 years (3y), 3 years and 9 months (3y9m) or 5-6 years (5/6y) received the conventional chart vision screening and a t ...[more]

PMID: 32893298

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Dataset Information

Costs and effects of conventional vision screening and photoscreening in the Dutch preventive child health care system.

Background

Methods

Results

Conclusions

Publications

Costs and effects of conventional vision screening and photoscreening in the Dutch preventive child health care system.

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