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European Heart Journal Advance Access originally published online on December 8, 2006
European Heart Journal 2007 28(1):137-139; doi:10.1093/eurheartj/ehl415
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Cost effectiveness of neonatal ECG screening for the long QT syndrome: reply

Peter J. Schwartz

Department of Cardiology
University of Pavia
IRCCS Fondazione Policlinico San Matteo
Pavia, Italy
E-mail address: pjqt@compuserve.com

Silvana Quaglini

Department of Computer Science and Systems
University of Pavia
Pavia, Italy

The first 10% of the full text of this article appears below.

We are grateful to Dr Van Hare and his well-respected colleagues for raising important questions related to our article.1 In writing this article, we focused on the cost-effectiveness issues and we took for granted some important considerations very familiar to us but perhaps less so to others. Their letter offers a unique opportunity to clarify these significant points.

The skepticism on the issue of costs is unjustified. Costs were considered from the point of view of the Italian National Health System (NHS); all costs listed are those established within the NHS and used for hospital reimbursement. To cover the possible variations within European countries, we conservatively varied every single parameter by ± 30%. The fact that public health-related costs are lower in Europe than in the USA is no surprise. As to the no costs associated with training adult cardiologists to read neonatal . . . [Full Text of this Article]


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