OBJECTIVES To compare the cumulative costs of public services used through to adulthood by individuals with three levels of antisocial behaviour in childhood. DESIGN Costs applied to data of 10 year old children from the inner London longitudinal study selectively followed up to adulthood. SETTING Inner London borough. PARTICIPANTS 142 individuals divided into three groups in childhood: n...

OBJECTIVE To assess the cost effectiveness of ultrasound screening for abdominal aortic aneurysms. DESIGN Primary analysis: four year cost effectiveness analysis based directly on results from a randomised controlled trial in which patients were individually allocated to invitation to ultrasound screening (intervention) or to a control group not offered screening. Secondary analysis: projecti...

OBJECTIVES To assess the cost-effectiveness of providing practical training to general practitioners (GPs) in shoulder problems, and administering a local anaesthetic (lignocaine) vs steroidal (cortisone) injection. METHODS A cost-effectiveness analysis conducted alongside a cluster randomized trial with a factorial design, in general practices across five centres within the UK. A total of 15...

AIMS To assess, using a decision model, the efficiency of ultrasound based and clinical screening strategies for developmental dysplasia of the hip. METHODS The additional cost per additional favourable outcome was compared for the following strategies: clinical screening alone using the Ortolani and Barlow tests; addition of static and dynamic ultrasound examination of the hips of all infant...

To assess the socio-economic impact of infectious intestinal disease (IID) on the health care sector, cases and their families, cases of IID ascertained from a population cohort component and those presenting to general practices were sent a socio-economic questionnaire 3 weeks after the acute episode. The impact of the illness was measured and the resources used were identified and costed. The...

OBJECTIVE To measure the cost effectiveness of systematic photographic screening for sight threatening diabetic eye disease compared with existing practice. DESIGN Cost effectiveness analysis. SETTING Liverpool. SUBJECTS A target population of 5000 diabetic patients invited for screening. MAIN OUTCOME MEASURES Cost effectiveness (cost per true positive) of systematic and opportunistic p...

OBJECTIVES To assess the cost-effectiveness of outpatient (at home) cervical ripening with isosorbide mononitrate (IMN) prior to induction of labour. DESIGN Economic evaluation was conducted alongside a randomised placebo controlled trial (the IMOP trial). SETTING Large UK maternity hospital. POPULATION A total of 350 nulliparous women with a singleton pregnancy, cephalic presentation > o...

A pilot study of 107 women aged 60-69 years recently suggested that the measurement of broadband ultrasound attenuation (BUA) provides a superior cost effective pre-screen referral method for bone mineral density (BMD) measurement by DXA (dual-energy X-ray absorptiometry) than can be achieved by clinical criteria (CC). The aim of this study was to compare the accuracy and cost effectiveness of ...