Objective: Paediatric dental care under general anaesthesia among preschool children in Western Australia is increasing and costly. This study assessed cost-effectiveness of the atraumatic restorative treatment-based (ART-based) approach against the standard care (SC) approach to managing early childhood caries in a primary care setting based on a 1-year pragmatic randomized controlled trial.
Methods: Cost-effectiveness analysis, from the service provider perspective, was conducted. Outcomes include number of referral to specialists and dental treatments. One-way and probabilistic sensitivity analyses were undertaken to test the robustness of the cost-effectiveness estimates.
Results: Six children in the ART-based group and 62 children in the SC group (n = 127 each group) were referred for paediatric dental specialist care. Children in the ART-based group received more dental services than those allocated to the SC group (mean = 3.8, SD 2.0 and mean = 1.8, SD 1.8, respectively, Wilcoxon rank-sum test, P < 0.01). Total costs of the ART-based approach and the SC group were $137 860 and $178 217, respectively. Based on probabilistic sensitivity analysis, $654 was saved per referral to specialist avoided and $36 was saved per additional dental treatment. The probability that the ART-based approach is cost-saving was 63%. Specialist dental treatment fees had a big impact on the cost-effectiveness estimates.
Conclusion: The ART-based approach appears to be a worthwhile intervention because it resulted in fewer referred cases and enabled more treatments to be provided with cost-savings.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/cdoe.12265 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Exploration of Psychological, Social, and Familial Issues of Females Living in the Shelter in Iraqi Kurdistan Through an Art-Based Qualitative Study.
Public Health Nurs
January 2025
Adult and fundamentals of Nursing Unit, College of Nursing, University of Duhok, Duhok, Iraq.
Objective: Female young prisoners may not be willing to discuss their familial and social issues through direct interviews. Therefore, other academic techniques, such as art-based techniques, could be used in this context. We aimed to explore female prisoners' psychological, familial, and social issues through an art-based approach.
View Article and Find Full Text PDFA Computationally Efficient Neuronal Model for Collision Detection with Contrast Polarity-Specific Feed-Forward Inhibition.
Biomimetics (Basel)
October 2024
Machine Life and Intelligence Research Centre, School of Mathematics and Information Science, Guangzhou University, Guangzhou 510006, China.
Animals utilize their well-evolved dynamic vision systems to perceive and evade collision threats. Driven by biological research, bio-inspired models based on lobula giant movement detectors (LGMDs) address certain gaps in constructing artificial collision-detecting vision systems with robust selectivity, offering reliable, low-cost, and miniaturized collision sensors across various scenes. Recent progress in neuroscience has revealed the energetic advantages of dendritic arrangements presynaptic to the LGMDs, which receive contrast polarity-specific signals on separate dendritic fields.
View Article and Find Full Text PDFResearch on Maternal Vaccination for HIV Prevention.
Clin Perinatol
December 2024
Department of Pediatrics, Weill Cornell Medicine, Drukier Institute for Children's Health, 413 East 69th Street, New York City, NY 10021, USA. Electronic address:
Despite increased uptake of antiretroviral therapy (ART) among pregnant people living with human immunodeficiency virus (HIV), vertical transmission remains the most important route of pediatric HIV acquisition. The numbers of HIV acquisitions in infancy have remained alarmingly stagnant in recent years. It is evident that additional strategies that can synergize with ART will be required to end the pediatric HIV epidemic.
View Article and Find Full Text PDFReimagining the Future of Reproduction from a Black Queer Lens: An Art-Based Approach to the Study of Reproductive Health Care.
Health Commun
October 2024
Department of Advertising & Brand Strategy, Texas Tech University.
Black Queer people's reproductive experiences are largely under-documented and under-reported in health communication research, despite the omnipresence of their storytelling within humanities-based literature. Drawing from a larger health study using Black feminist perspectives and centering Black Queer people's lived experiences with reproduction, previous health research, and Black Queer poetics, this study uses an art-based research approach to create erasure poems that detail how Black Queer birthing people resist and survive reproductive-based injustices. Specifically, through this innovative approach, I construct eight erasure poems developed from the previous insights of Black Queer people's answer to "What is the future of reproduction?" These poems detail unparalleled truths about the needs and strategies that necessitate efforts to improve reproductive justice for my community.
View Article and Find Full Text PDFThe Management of Hematopoietic Stem Cell Transplant in People with HIV.
Viruses
September 2024
Department of Pharmacy Services, City of Hope National Medical Center, Duarte, CA 91010, USA.
Hematopoietic stem cell transplant (HSCT) is now recognized as a standard treatment option for people with HIV (PWH) who develop high-risk hematologic malignancies. However, the involved polypharmacy can lead to complications from drug interactions and toxicities, affecting the efficacy and safety of chemotherapy and antiretroviral therapy (ART). Managing these patients requires a personalized approach, including the careful selection of ART based on previous therapies and potential interactions, alongside risk assessment for infections.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!