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A Cost-Effectiveness Analysis of Methods of Screening for Dysphagia After Stroke

Wilson, Richard Dwillis
http://rave.ohiolink.edu/etdc/view?acc_num=case1238084939

Abstract Details

2009, Master of Sciences, Case Western Reserve University, Clinical Research.
Dysphagia is common after stroke and contributes to subsequent morbidity and mortality. The objective of this study is to provide a cost-effectiveness analysis of dysphagia screening in the acute post-stroke period by videofluoroscopic swallowing study (VFSS), clinical bedside swallowing evaluation (CBSE), or a combined approach. A decision-analysis model was created using original database analysis and from published clinical studies. Model robustness was evaluated by univariate and probabilistic sensitivity analyses. The model assessed direct medical costs from a societal perspective. Strategies were compared on the basis of incremental cost-effectiveness analysis, with effectiveness measured in quality-adjusted life-years (QALYs). The VFSS appears to be the optimal strategy in identifying dysphagia, with a cost per QALY of $11,659 over CBSE, though limitations of model estimates prevent recommendation of this strategy.
David Aron, MD (Committee Chair)
Neal Dawson, MD (Committee Member)
Patrick Murray, MD, MS (Committee Member)
35 p.
Biomedical Research; Health
Stroke; Pneumonia; Cost-effectiveness; Dysphagia

Recommended Citations

Citations

  • Wilson, R. D. (2009). A Cost-Effectiveness Analysis of Methods of Screening for Dysphagia After Stroke [Master's thesis, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1238084939

    APA Style (7th edition)

  • Wilson, Richard. A Cost-Effectiveness Analysis of Methods of Screening for Dysphagia After Stroke. 2009. Case Western Reserve University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1238084939.

    MLA Style (8th edition)

  • Wilson, Richard. "A Cost-Effectiveness Analysis of Methods of Screening for Dysphagia After Stroke." Master's thesis, Case Western Reserve University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1238084939

    Chicago Manual of Style (17th edition)

case1238084939
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© 2009, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.