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. Author manuscript; available in PMC: 2017 May 1.
Published in final edited form as: J Pediatr. 2016 Feb 11;172:127–135. doi: 10.1016/j.jpeds.2016.01.029

Table II.

Base-case results of cost-effectiveness and cost-benefit analyses

Outcomes Screening No screening
Intermediate outcomes
    Total cost of screening and diagnosis following screening $741 376 N/A
    Cost of screening and diagnosis per infant screened $8.16 N/A
    Treatment costs for infants receiving definitive treatment $197 258 $457 401
    Treatment costs for infants dying prior to definitive treatment $27 234 $83 996
    Treatment cost reduction with screening $316 905 N/A
    Net direct cost with screening $424 470 N/A
    Number of infants with SCID diagnosed preclinically 1.49 0.30
    Number of additional SCID cases detected preclinically by screening 1.19 N/A
    Number of cases of non-SCID TCL detected by screening 6.19 N/A
    Number of infant deaths because of SCID 0.18 0.58
    Number of deaths averted by screening 0.40 N/A
    Discounted life-years gained by screening 12.02 N/A
Results of CEA
    ICER (cost per life-y saved) $35 311
Results of CBA (VSL = $9.0 million)
    Total benefits (treatment cost reduction plus survival benefit) 3.94 million
    Net benefit (benefits minus costs of screening and diagnosis) 3.19 million
    Benefit-cost ratio 5.31
Results of CBA (VSL = $4.2 million)
    Total benefits (treatment cost reduction plus survival benefit) 2.01 million
    Net benefit (benefits minus costs of screening and diagnosis) 1.26 million
    Benefit-cost ratio 2.71

N/A, not applicable.