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Estimated Cost-Effectiveness of Intensive Interdisciplinary Behavioral Treatment for Increasing Oral Intake in

Robert Dempster1, Wendelin Burdo-Hartman2, Elizabeth Halpin2

  • 1Nationwide Children's Hospital Robert.Dempster@Nationwidechildrens.org.

Journal of Pediatric Psychology
|December 3, 2015
PubMed

Insights

Intensive interdisciplinary behavioral treatment (IIBT) is a cost-effective approach for severe pediatric feeding issues, potentially preventing or removing the need for gastrostomy tubes (G tubes). This approach offers significant savings over 5-10 years.

Area of Science:

  • Pediatric Gastroenterology
  • Health Economics
  • Behavioral Therapy

Background:

  • Severe pediatric feeding difficulties often necessitate gastrostomy tubes (G tubes).
  • Intensive interdisciplinary behavioral treatment (IIBT) offers an alternative approach.
  • Evaluating the economic impact of IIBT is crucial for healthcare providers and insurers.

Purpose of the Study:

  • To assess the cost-effectiveness of IIBT for pediatric feeding difficulties.
  • To determine the economic benefits of IIBT in preventing or removing G tubes from an insurance perspective.

Main Methods:

  • Compiled cost data for G tubes and IIBT from literature and national databases.
  • Adjusted costs to 2015 prices for consistent analysis.
  • Utilized one-way sensitivity and two-way threshold analyses.

Main Results:

  • IIBT demonstrated potential cost-effectiveness in preventing G tube placement.
  • IIBT showed cost-effectiveness in facilitating G tube removal.
  • Analyses projected savings over 5 and 10-year periods.

Conclusions:

  • IIBT presents a viable, cost-effective treatment for severe pediatric feeding issues.
  • Study data can support IIBT service cost justifications.
  • Healthcare programs can leverage findings to discuss IIBT's economic advantages.

Keywords:
behavioral feeding therapycost-effectivenessinterdisciplinary treatment

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