Cost of Fetal Alcohol Spectrum Disorder Diagnosis in Canada
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{"title"=>"Cost of Fetal Alcohol Spectrum Disorder Diagnosis in Canada", "type"=>"journal", "authors"=>[{"first_name"=>"Svetlana", "last_name"=>"Popova", "scopus_author_id"=>"56848085800"}, {"first_name"=>"Shannon", "last_name"=>"Lange", "scopus_author_id"=>"37120477400"}, {"first_name"=>"Larry", "last_name"=>"Burd", "scopus_author_id"=>"7005837695"}, {"first_name"=>"Albert E.", "last_name"=>"Chudley", "scopus_author_id"=>"7006272056"}, {"first_name"=>"Sterling K.", "last_name"=>"Clarren", "scopus_author_id"=>"7005306754"}, {"first_name"=>"Jürgen", "last_name"=>"Rehm", "scopus_author_id"=>"7102718648"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84875951062", "issn"=>"19326203", "scopus"=>"2-s2.0-84875951062", "pmid"=>"23593216", "pui"=>"368686440", "isbn"=>"1932-6203", "doi"=>"10.1371/journal.pone.0060434"}, "id"=>"bfa1a134-5c09-3ec6-b2db-0fd02e9d9a11", "abstract"=>"Background: Fetal Alcohol Spectrum Disorder (FASD) is underdiagnosed in Canada. The diagnosis of FASD is not simple and currently, the recommendation is that a comprehensive, multidisciplinary assessment of the individual be done. The purpose of this study was to estimate the annual cost of FASD diagnosis on Canadian society.; Methods: The diagnostic process breakdown was based on recommendations from the Fetal Alcohol Spectrum Disorder Canadian Guidelines for Diagnosis. The per person cost of diagnosis was calculated based on the number of hours (estimated based on expert opinion) required by each specialist involved in the diagnostic process. The average rate per hour for each respective specialist was estimated based on hourly costs across Canada. Based on the existing clinical capacity of all FASD multidisciplinary clinics in Canada, obtained from the 2005 and 2011 surveys conducted by the Canada Northwest FASD Research Network, the number of FASD cases diagnosed per year in Canada was estimated. The per person cost of FASD diagnosis was then applied to the number of cases diagnosed per year in Canada in order to calculated the overall annual cost.; Results: Using the most conservative approach, it was estimated that an FASD evaluation requires 32 to 47 hours for one individual to be screened, referred, admitted, and diagnosed with an FASD diagnosis, which results in a total cost of $3,110 to $4,570 per person. The total cost of FASD diagnostic services in Canada ranges from $3.6 to $5.2 million (lower estimate), up to $5.0 to $7.3 million (upper estimate) per year.; Discussion: As a result of using the most conservative approach, the cost of FASD diagnostic services presented in the current study is most likely underestimated. The reasons for this likelihood and the limitations of the study are discussed.; ", "link"=>"http://www.mendeley.com/research/cost-fetal-alcohol-spectrum-disorder-diagnosis-canada-5", "reader_count"=>24, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>2, "Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>4, "Student > Master"=>9, "Student > Bachelor"=>3, "Professor"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>2, "Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>4, "Student > Master"=>9, "Student > Bachelor"=>3, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>2, "Agricultural and Biological Sciences"=>2, "Medicine and Dentistry"=>7, "Neuroscience"=>1, "Arts and Humanities"=>1, "Psychology"=>7, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>7}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Unspecified"=>{"Unspecified"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Netherlands"=>1, "South Africa"=>1, "Spain"=>1}, "group_count"=>5}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1014344"], "description"=>"*<p>The final number is the full estimated capacity for FASD diagnosis in Canada as a whole, including additional slots from the rest of provinces and territories <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0060434#pone.0060434-Clarren2\" target=\"_blank\">[22]</a>.</p>**<p>Obtained from Clarren & Lutke <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0060434#pone.0060434-Clarren1\" target=\"_blank\">[18]</a>.</p>", "links"=>[], "tags"=>["fasd", "diagnosed", "provinces"], "article_id"=>674707, "categories"=>["Biotechnology", "Medicine"], "users"=>["Svetlana Popova", "Shannon Lange", "Larry Burd", "Albert E. Chudley", "Sterling K. Clarren", "Jürgen Rehm"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060434.t002", "stats"=>{"downloads"=>9, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_capacity_of_FASD_diagnosis_in_2011_estimated_number_of_people_diagnosed_with_FASD_per_year_assuming_a_50_and_70_FASD_diagnosis_rate_and_the_annual_cost_for_FASD_diagnosis_in_Canada_by_available_provinces_and_territory_/674707", "title"=>"Clinical capacity of FASD diagnosis in 2011, estimated number of people diagnosed with FASD per year (assuming a 50% and 70% FASD diagnosis rate), and the annual cost for FASD diagnosis in Canada, by available provinces and territory.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-04 01:18:27"}

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Relative Metric

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