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Screening for scoliosis. A cost-effectiveness analysis.

F Montgomery¹, U Persson, G Benoni

¹Department of Orthopedics, Malmoe General Hospital, University of Lund, Sweden.

|February 1, 1990

Summary

The combined clinical moiré screening is the most cost-effective method for preventing severe scoliosis. This approach reduces healthcare and production loss costs compared to conventional screening or no screening.

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Area of Science:

Orthopedics
Health Economics
Public Health

Background:

Scoliosis prevention requires effective screening methods.
Evaluating the economic impact of different screening strategies is crucial for resource allocation.

Purpose of the Study:

To compare the cost-effectiveness of three scoliosis screening methods: no screening, conventional clinical screening, and combined clinical moiré screening.
To identify the most economically viable approach for preventing severe scoliosis deformities.

Main Methods:

Development of a multistage model for the scoliosis treatment process.
Utilizing retrospective data from Malmo for cost calculations.
Analysis of healthcare and production loss costs for each screening alternative.

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Main Results:

Conventional clinical screening increased both healthcare costs and production loss.
Combining clinical screening with the moiré technique significantly reduced overall costs.
The combined clinical moiré screening demonstrated superior cost-effectiveness.

Conclusions:

The combined clinical moiré screening is the most cost-effective strategy for scoliosis prevention.
This integrated approach optimizes resource utilization in managing scoliosis.
Implementing combined clinical moiré screening can mitigate the progression to severe scoliosis deformities.