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Alaska Blind Child Discovery

A cooperative, charitable research project to vision screen every preschool Alaskan

Cost-Benefit of Screening

ABCD History

Lifetime Societal Value of residual amblyopia is $5300 (1999)(1)
Screening costs vary by paradigm(2, 3)
QALY higher for vision screen than comprehensive exams(4)
Pediatric Vision Screening meets Evidence-based Medicine(5) Relative Value in Public health

Adult costs $35 Billion/year

1. Beauchamp G, Bane M, Stager D, Berry P, Wright W. A value analysis model applied to the management of amblyopia. Tr Am Ophth Soc. 1999;97:349-372. Beauchamp C, Felius J, Beauchamp GR, Brown M, Brown G. The economic value added for care of amblyopia, strabismus, and asthma (abst). J AAPOS 2007;11:76
2. Arnold RW, Armitage MD, Gionet EG, et al. The cost and yield of photoscreening: Impact of photoscreening on overall pediatric ophthalmic costs. JPOS. 2005;42(2):103-111.
3. Joish V, Malone DC, Miller JM. A cost-benefit analysis of vision screening methods for preschoolers and school -age children. J AAPOS. 2003;7(4):283-290.
4. White A. Costs and Benefits of Comprehensive Eye Exams. Abt Associates. Available at: Accessed 10/28/04, 2004.
5. Calonge N, USPSTF. Screening for visual impairment in children younger than 5 years: Recommendation Statement. Ann Fam Med. 2004;2:263-266.
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