Cost-effectiveness analysis of the atraumatic restorative treatment-based approach to managing early childhood caries

Utsana Tonmukayakul, Peter Arrow

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: Paediatric dental care under general anaesthesia among preschool children in Western Australia is increasing and costly. This study assessed cost-effectiveness of the atraumatic restorative treatment-based (ART-based) approach against the standard care (SC) approach to managing early childhood caries in a primary care setting based on a 1-year pragmatic randomized controlled trial. Methods: Cost-effectiveness analysis, from the service provider perspective, was conducted. Outcomes include number of referral to specialists and dental treatments. One-way and probabilistic sensitivity analyses were undertaken to test the robustness of the cost-effectiveness estimates. Results: Six children in the ART-based group and 62 children in the SC group (n = 127 each group) were referred for paediatric dental specialist care. Children in the ART-based group received more dental services than those allocated to the SC group (mean = 3.8, SD 2.0 and mean = 1.8, SD 1.8, respectively, Wilcoxon rank-sum test, P < 0.01). Total costs of the ART-based approach and the SC group were $137 860 and $178 217, respectively. Based on probabilistic sensitivity analysis, $654 was saved per referral to specialist avoided and $36 was saved per additional dental treatment. The probability that the ART-based approach is cost-saving was 63%. Specialist dental treatment fees had a big impact on the cost-effectiveness estimates. Conclusion: The ART-based approach appears to be a worthwhile intervention because it resulted in fewer referred cases and enabled more treatments to be provided with cost-savings.

Original languageEnglish
Pages (from-to)92-100
Number of pages9
JournalCommunity Dentistry and Oral Epidemiology
Volume45
Issue number1
DOIs
Publication statusPublished - 1 Feb 2017
Externally publishedYes

Fingerprint

Cost-Benefit Analysis
Therapeutics
Tooth
Dental Care
Nonparametric Statistics
Dental Fees
Referral and Consultation
Pediatrics
Costs and Cost Analysis
Western Australia
Cost Savings
Preschool Children
General Anesthesia
Primary Health Care
Randomized Controlled Trials

Cite this

@article{1d28d9227153438c9d7c5512a5dc8142,
title = "Cost-effectiveness analysis of the atraumatic restorative treatment-based approach to managing early childhood caries",
abstract = "Objective: Paediatric dental care under general anaesthesia among preschool children in Western Australia is increasing and costly. This study assessed cost-effectiveness of the atraumatic restorative treatment-based (ART-based) approach against the standard care (SC) approach to managing early childhood caries in a primary care setting based on a 1-year pragmatic randomized controlled trial. Methods: Cost-effectiveness analysis, from the service provider perspective, was conducted. Outcomes include number of referral to specialists and dental treatments. One-way and probabilistic sensitivity analyses were undertaken to test the robustness of the cost-effectiveness estimates. Results: Six children in the ART-based group and 62 children in the SC group (n = 127 each group) were referred for paediatric dental specialist care. Children in the ART-based group received more dental services than those allocated to the SC group (mean = 3.8, SD 2.0 and mean = 1.8, SD 1.8, respectively, Wilcoxon rank-sum test, P < 0.01). Total costs of the ART-based approach and the SC group were $137 860 and $178 217, respectively. Based on probabilistic sensitivity analysis, $654 was saved per referral to specialist avoided and $36 was saved per additional dental treatment. The probability that the ART-based approach is cost-saving was 63{\%}. Specialist dental treatment fees had a big impact on the cost-effectiveness estimates. Conclusion: The ART-based approach appears to be a worthwhile intervention because it resulted in fewer referred cases and enabled more treatments to be provided with cost-savings.",
keywords = "atraumatic restorative treatment, cost-effectiveness analysis, early childhood caries",
author = "Utsana Tonmukayakul and Peter Arrow",
year = "2017",
month = "2",
day = "1",
doi = "10.1111/cdoe.12265",
language = "English",
volume = "45",
pages = "92--100",
journal = "Community Dentistry and Oral Epidemiology",
issn = "0301-5661",
publisher = "Blackwell",
number = "1",

}

Cost-effectiveness analysis of the atraumatic restorative treatment-based approach to managing early childhood caries. / Tonmukayakul, Utsana; Arrow, Peter.

In: Community Dentistry and Oral Epidemiology, Vol. 45, No. 1, 01.02.2017, p. 92-100.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cost-effectiveness analysis of the atraumatic restorative treatment-based approach to managing early childhood caries

AU - Tonmukayakul, Utsana

AU - Arrow, Peter

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Objective: Paediatric dental care under general anaesthesia among preschool children in Western Australia is increasing and costly. This study assessed cost-effectiveness of the atraumatic restorative treatment-based (ART-based) approach against the standard care (SC) approach to managing early childhood caries in a primary care setting based on a 1-year pragmatic randomized controlled trial. Methods: Cost-effectiveness analysis, from the service provider perspective, was conducted. Outcomes include number of referral to specialists and dental treatments. One-way and probabilistic sensitivity analyses were undertaken to test the robustness of the cost-effectiveness estimates. Results: Six children in the ART-based group and 62 children in the SC group (n = 127 each group) were referred for paediatric dental specialist care. Children in the ART-based group received more dental services than those allocated to the SC group (mean = 3.8, SD 2.0 and mean = 1.8, SD 1.8, respectively, Wilcoxon rank-sum test, P < 0.01). Total costs of the ART-based approach and the SC group were $137 860 and $178 217, respectively. Based on probabilistic sensitivity analysis, $654 was saved per referral to specialist avoided and $36 was saved per additional dental treatment. The probability that the ART-based approach is cost-saving was 63%. Specialist dental treatment fees had a big impact on the cost-effectiveness estimates. Conclusion: The ART-based approach appears to be a worthwhile intervention because it resulted in fewer referred cases and enabled more treatments to be provided with cost-savings.

AB - Objective: Paediatric dental care under general anaesthesia among preschool children in Western Australia is increasing and costly. This study assessed cost-effectiveness of the atraumatic restorative treatment-based (ART-based) approach against the standard care (SC) approach to managing early childhood caries in a primary care setting based on a 1-year pragmatic randomized controlled trial. Methods: Cost-effectiveness analysis, from the service provider perspective, was conducted. Outcomes include number of referral to specialists and dental treatments. One-way and probabilistic sensitivity analyses were undertaken to test the robustness of the cost-effectiveness estimates. Results: Six children in the ART-based group and 62 children in the SC group (n = 127 each group) were referred for paediatric dental specialist care. Children in the ART-based group received more dental services than those allocated to the SC group (mean = 3.8, SD 2.0 and mean = 1.8, SD 1.8, respectively, Wilcoxon rank-sum test, P < 0.01). Total costs of the ART-based approach and the SC group were $137 860 and $178 217, respectively. Based on probabilistic sensitivity analysis, $654 was saved per referral to specialist avoided and $36 was saved per additional dental treatment. The probability that the ART-based approach is cost-saving was 63%. Specialist dental treatment fees had a big impact on the cost-effectiveness estimates. Conclusion: The ART-based approach appears to be a worthwhile intervention because it resulted in fewer referred cases and enabled more treatments to be provided with cost-savings.

KW - atraumatic restorative treatment

KW - cost-effectiveness analysis

KW - early childhood caries

UR - http://www.scopus.com/inward/record.url?scp=85004028304&partnerID=8YFLogxK

U2 - 10.1111/cdoe.12265

DO - 10.1111/cdoe.12265

M3 - Article

VL - 45

SP - 92

EP - 100

JO - Community Dentistry and Oral Epidemiology

JF - Community Dentistry and Oral Epidemiology

SN - 0301-5661

IS - 1

ER -