Cost-effectiveness analysis of sickle cell screening for 2004 to 2008 (including first year start-up costs) | ||||
---|---|---|---|---|
Black football athletes | All football athletes | All black athletes | All athletes | |
Number of athletes | 101 450 | 308 043 | 297 911 | 1 992 332 |
Total screens first year | 20 290 | 61 609 | 59 582 | 398 466 |
Total screens every year after | 5073 | 15 402 | 14 896 | 99 617 |
Total number of athletes screened in 5 years | 40 580 | 123 217 | 119 164 | 796 933 |
Cost of screening programme | ||||
‘Simple $5 test’ | $202 900 | $616 086 | $595 822 | $3 984 664 |
$30 | $1 217 400 | $3 696 516 | $3 574 932 | $23 907 984 |
Hgb electrophoresis – $150 | $6 087 000 | $18 482 580 | $17 874 660 | $119 539 920 |
Cost to identify one athlete with SCT | ||||
‘Simple $5 test’ | $71.43 | $207.24 | $71.43 | $427.35 |
$30 | $429 | $1243 | $429 | $2564 |
Hgb electrophoresis – $150 | $2143 | $6217 | $2143 | $12 821 |
Cost to prevent one death over 5 years | ||||
‘Simple $5 test’ | $40 580 | $123 217 | $119 164 | $796 933 |
$30 | $243 480 | $739 303 | $714 986 | $4 781 597 |
Hgb electrophoresis – $150 | $1 217 400 | $3 696 516 | $3 574 932 | $23 907 984 |
Cost per life-year saved | ||||
‘Simple $5 test’ | $812 | $2464 | $2383 | $15 939 |
$30 | $4870 | $14 786 | $14 300 | $95 632 |
Hgb electrophoresis – $150 | $24 348 | $73 930 | $71 499 | $478 160 |
SCT, sickle cell trait.