June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Start of EUSCREEN Study that compares cost-effectiveness of childhood vision and hearing screening programmes in all European countries and implements these in Romania and Albania
Author Affiliations & Notes
  • Huibert Jan Simonsz
    Ophthalmology, EMC, Rotterdam, Netherlands
    Netherlands Institute of Neuroscience, Amsterdam, Netherlands
  • Frea Sloot
    Ophthalmology, EMC, Rotterdam, Netherlands
  • Aya Sami
    Ophthalmology, EMC, Rotterdam, Netherlands
  • Cristina Vladutiu
    University of Medicine and Pharmacy UMF Cluj-Napoca, Cluj-Napoca, Romania
  • Birkena Qirjazi
    University of Medicine, Tirana, Albania
  • Jill Carlton
    The University of Sheffield, Sheffield, United Kingdom
  • Inger Úhlen
    Karolinska Institutet, Stockholm, Sweden
  • Anna M Horwood
    The University of Reading, Reading, United Kingdom
  • Maria Fronius
    Goethe University Frankfurt, Frankfurt, Germany
  • Harry de Koning
    Public Health, Erasmus Medical Center, Rotterdam, Netherlands
  • Hans Hoeve
    ENT, Erasmus Medical Center, Rotterdam, Netherlands
  • Monica Ghitiu
    Directia de Asistenta Sociala si Medicala, Cluj-Napoca, Romania
  • Helen Griffith
    The University of Sheffield, Sheffield, United Kingdom
  • Enver Roshi
    University of Medicine, Tirana, Albania
  • Daniela Rajka
    Directia de Asistenta Sociala si Medicala, Cluj-Napoca, Romania
  • Edi Tushe
    University of Medicine, Tirana, Albania
  • Footnotes
    Commercial Relationships   Huibert Simonsz, None; Frea Sloot, None; Aya Sami, None; Cristina Vladutiu, None; Birkena Qirjazi, None; Jill Carlton, None; Inger Úhlen, None; Anna Horwood, None; Maria Fronius, None; Harry de Koning, None; Hans Hoeve, None; Monica Ghitiu, None; Helen Griffith, None; Enver Roshi, None; Daniela Rajka, None; Edi Tushe, None
  • Footnotes
    Support  Horizon 2020-SC1-2016-RTD #733352
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 2361. doi:
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      Huibert Jan Simonsz, Frea Sloot, Aya Sami, Cristina Vladutiu, Birkena Qirjazi, Jill Carlton, Inger Úhlen, Anna M Horwood, Maria Fronius, Harry de Koning, Hans Hoeve, Monica Ghitiu, Helen Griffith, Enver Roshi, Daniela Rajka, Edi Tushe; Start of EUSCREEN Study that compares cost-effectiveness of childhood vision and hearing screening programmes in all European countries and implements these in Romania and Albania. Invest. Ophthalmol. Vis. Sci. 2017;58(8):2361.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Across Europe inequity exists in the provision of childhood vision and hearing screening programmes (VAHSPs). They vary with regard to age and frequency of testing, tests used, uptake, screening professionals, referral pathway and funding. In the EUSCREEN Study, the VAHSPs in all countries in Europe will be compared regarding their cost-effectiveness, and new VAHSPs will be implemented in Romania and Albania where currently no population-based screening programmes exist.

Methods : In the first year of the study, detailed information is gathered from all 41 countries in Europe about existing vision and hearing screening programmes, demographic data, general health care, general paediatric screening, vision and hearing screening, tests used, professions involved, treatment of amblyopia, hearing impairment and other eye and ear disorders, results of screening programmes and side-effects. The cost-effectiveness model will be constructed from the MISCAN model used to calculated cost-effectiveness of repeated population-based screening for cancer and other disorders in the Netherlands, taking regional diversity and organisational and resource requirements into account.

Results : Part of the data about existing screening programmes has been collected (accompanying poster Aya Sami and others). In the Summer of 2017 a preliminary version of the model will predict the most cost-effective VAHSPs for Romania and for Albania. Courses for nurses or other professionals who will perform the screening will be held in the Autumn of 2017. The model-predicted screening programmes will be tested in 2018 and 2019 in the county of Cluj in Romania for vision screening, and in the counties Tirana, Progadec and Kukes in Albania for hearing screening. A generic strategy for implementation will be developed by detailed tracking, and from identified requirements, facilitators and barriers.

Conclusions : The EUSCREEN Study will make comparison of the cost-effectiveness of the very diverse vision and hearing screening programmes in Europe possible. The decision-analytic modelling framework will be packed into a transferable TOOLKIT that will assist healthcare providers and policy makers worldwide in their decisions to introduce or modify VAHSPs, and increase effectiveness, efficiency and equity of child healthcare.

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

 

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