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Children with Suspected Craniosynostosis: A Cost-Effectiveness Analysis of Diagnostic Strategies

L. Santiago Medina1, Randy R. Richardson2 and Kerry Crone3

1 Department of Radiology, Health Outcomes, Policy and Economics (HOPE) Center, Brain Institute, Miami Children's Hospital, 3100 S.W. 62 Ave., Miami, FL 33155.
2 Department of Radiology, Children's Hospital Medical Center, Cincinnati, OH.
3 Department of Neurosurgery, Children's Hospital Medical Center, Cincinnati, OH.



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  		Fig. 1. —Chart shows decision tree for comparing diagnostic strategies of no imaging, radiography (if abnormal, three-dimensional CT [3D CT]), and 3D CT.

 


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  		Fig. 2. —Graph shows two-way sensitivity analysis of pretest probability for craniosynostosis. {diamondsuit} = conventional radiography, [UNK] = CT.

 


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  		Fig. 4. —Graph shows two-way sensitivity analysis of CT cost in intermediate-risk group. {diamondsuit} = radiography, [UNK] = CT.

 


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  		Fig. 3. —Graph shows two-way sensitivity analysis of cost of conventional radiography in intermediate-risk group. {diamondsuit} = conventional radiography, [UNK] = CT.

 


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  		Fig. 5. —Graph shows two-way sensitivity analysis of utilities in intermediate-risk group. {diamondsuit} = radiography, [UNK] = CT.

 

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