Congenital diaphragmatic hernia cost-effectiveness of therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S

Overview

CDH is primarily treated with extensive surgical intervention which can be very expensive. Annual costs increase with the addition of ECMO. The average cost is USD $137,000 per patient and the estimated cost of CDH per year in the United States alone is more than USD $230 million.

Cost-effectiveness of Therapy

Average cost: USD $137,000 per patient
Addition of ECMO: USD $156,499.90 per patient^[1]
Cost for CDH survivors without ECMO: USD $98,000^[2]
Cost for CDH survivors with ECMO: USD $365,000
Estimated cost of CDH per year in the United States: more than USD $230 million

References

↑ Raval MV, Wang X, Reynolds M, Fischer AC (2011). “Costs of congenital diaphragmatic hernia repair in the United States-extracorporeal membrane oxygenation foots the bill”. J Pediatr Surg. 46 (4): 617–624. doi:10.1016/j.jpedsurg.2010.09.047. PMID 21496527.
↑ Metkus AP, Esserman L, Sola A, Harrison MR, Adzick NS (1995). “Cost per anomaly: what does a diaphragmatic hernia cost?”. J Pediatr Surg. 30 (2): 226–30. doi:10.1016/0022-3468(95)90565-0. PMID 7738743.

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[pmid214965272-1] Raval MV, Wang X, Reynolds M, Fischer AC (2011). “Costs of congenital diaphragmatic hernia repair in the United States-extracorporeal membrane oxygenation foots the bill”. J Pediatr Surg. 46 (4): 617–624. doi:10.1016/j.jpedsurg.2010.09.047. PMID 21496527.

[pmid7738743-2] Metkus AP, Esserman L, Sola A, Harrison MR, Adzick NS (1995). “Cost per anomaly: what does a diaphragmatic hernia cost?”. J Pediatr Surg. 30 (2): 226–30. doi:10.1016/0022-3468(95)90565-0. PMID 7738743.

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