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Galaktionova AM, Kaplanova MT, Baranova EE, Sagaydak PV, Olenev AS, Kharkchinov AY, Chernova MI, Yablonskiy KP, Patrushev MA, Filatov VB, Naygovzina NB. [EVALUATION OF THE MEDICAL AND ECONOMIC EFFICIENCY OF NON-INVASIVE PRENATAL TESTING IN MOSCOW]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2022; 30:806-812. [PMID: 36282651 DOI: 10.32687/0869-866x-2022-30-5-806-812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 04/06/2022] [Indexed: 06/16/2023]
Abstract
to evaluate the medical and economic efficiency of prenatal diagnostics of fetal chromosomal abnormalities (CA) in pregnant women in Moscow using a non-invasive prenatal test (NIPT) as a second-line model. A comparative analysis of the medical and economic efficiency of standard prenatal screening and prenatal screening with NIPT in groups of pregnant women, registered in Moscow, with high and medium fetal CA risk was carried out. Analysis was based on the number of children born with CA and the costs of medical care (direct costs) and social payments (indirect costs), calculated for both scenarios. Following standard prenatal screening 111 children with CA would be born, following prenatal screening with NIPT - only 26. Including NIPT in prenatal diagnostics increases direct costs by 299.97 million rubles and reduces annual indirect costs from 61.19 to 28.95 million rubles. Starting from the 13th year of using NIPT the estimated effect of reducing indirect costs would exceed direct costs. NIPT in prenatal diagnostics can increase the detection of fetal CA and reduce indirect costs. Assessing the indirect costs in economic efficiency enhances the accuracy of the estimate.
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Affiliation(s)
| | | | - E E Baranova
- Evogen LLC, Moscow, 115191
- Russian Medical Academy of Сontinuous Professional Education of Minzdrav of Russia, 125993, Moscow, Russia
| | - P V Sagaydak
- Evogen LLC, Moscow, 115191
- National Medical Research Center of Cardiology of Minzdrav of Russia, 121552, Moscow, Russia
| | - A S Olenev
- Moscow City Health Department "Сity Clinical Hospital № 24", 127015, Moscow, Russia
| | | | - M I Chernova
- Evogen LLC, Moscow, 115191
- Russian Presidential Academy of National Economy and Public Administration, 119571, Moscow, Russia
| | - K P Yablonskiy
- ANO "Moscow Centre for InnovativeHealthcare Technologies", 101000, Moscow, Russia
| | - M A Patrushev
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry"of Minzdrav of Russia, 101000, Moscow, Russia
| | | | - N B Naygovzina
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry"of Minzdrav of Russia, 101000, Moscow, Russia
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