Table 6.
Scoring results for congenital hypothyroidism.
| Disease/Condition | ||||
|---|---|---|---|---|
| Categories | Subcategories | Criteria | Rating Score | Full Marks |
| Disease/condition | Incidence of the disease/condition | ≥1/20,000 | 10 | 10 |
| Onset of serious symptoms within 96 h of birth | No onset | 9 | 9 | |
| Natural history of the disease/condition | Clear | 18 | 18 | |
| Disease burden without treatment | High disease burden | 37 | 37 | |
| Subtotal | 74 | 74 | ||
| Screening test | Screening test performance | High sensitivity and specificity | 32 | 32 |
| Availability of dried blood specimens | Yes | 29 | 29 | |
| Number of samples that can be processed | ≥200 samples/day/full-time equivalent (FTE) | 16 | 16 | |
| Time to obtain screening test results | <1 day | 17 | 17 | |
| Cost of screening test | <500 Japanese yen (JPY) | 12 | 12 | |
| Number of diseases/conditions testable at once | 1 | 4 | 16 | |
| Subtotal | 110 | 122 | ||
| Intervention | Availability of clinical guidelines | Available | 39 | 39 |
| Availability of medical interventions covered by national health insurance | Available | 41 | 41 | |
| Scientific evidence for the benefits of early intervention | Yes | 104 | 104 | |
| Subtotal | 184 | 184 | ||
| Follow-up setting | Post-screening follow-up system | Well established | 66 | 66 |
| Availability of post-screening consultation | Available | 60 | 60 | |
| Subtotal | 126 | 126 | ||
| Economic evaluation | Some scientific evidence is available | 46 | 114 | |
| Total score | 540 | 620 | ||
The results of applying the developed scoring model to congenital hypothyroidism (CH) are shown. The rating score represents the score assigned to the selected criteria for CH. Deviations from the full marks indicate scores that CH did not obtain.