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Arch Dis Child 2001 Volume 84 No 1
Cost effectiveness rivals evidence based medicine as a 21st
century shibboleth. At least in the UK it is no longer sufficient to
show that a treatment works; or even that you only have to treat 978 patients to achieve one success. You must also calculate how great a
strain it will prove on the public purse. This month, Morris and
colleagues (page 15) look at how much of the NHS treasure chest slips
away at the insistent demand of crying or non-sleeping babies. Their
answer is £65 million a year. Helpfully, they point out this would
employ over 2000 nurses or buy 14 million doses of sildenafil.
Educational intervention with families costs an extra £4.13 per
interruption-free night, and a behavioural programme costs just 56p
(US$1). Most parents would consider this money well spent although the
manufacturers of sildenafil may conclude otherwise.*
Footnotes
* Footnote: exercising enormous restraint, because he must be thoroughly tired [sic] of it, we forbore to mention that a co-author is J Sleep.
In April 2000, ADC
Relevant Articles
- Economic evaluation of strategies for managing crying and sleeping problems
- S Morris, I St James-Roberts, J Sleep, and P Gillham
Arch. Dis. Child. 2001 84: 15-19.[Abstract] [Full Text] [PDF]
- Parents' interpretations of children's respiratory symptoms on video
- R S Cane and S A McKenzie
Arch. Dis. Child. 2001 84: 31-34.[Abstract] [Full Text] [PDF]
- Survey of respiratory sounds in infants
- H E Elphick, P Sherlock, G Foxall, E J Simpson, N A Shiell, R A Primhak, and M L Everard
Arch. Dis. Child. 2001 84: 35-39.[Abstract] [Full Text] [PDF]
- Birth weight <1501 g and respiratory health at age 14
- L W Doyle, M M H Cheung, G W Ford, A Olinsky, N M Davis, and C Callanan
Arch. Dis. Child. 2001 84: 40-44.[Abstract] [Full Text] [PDF]
- Paediatric prehospital care: postal survey of paramedic training managers
- P Gaffney and G Johnson
Arch. Dis. Child. 2001 84: 82-83.[Abstract] [Full Text] [PDF]
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