Cost-effective Management of Sore Throat
It Depends on the Perspective
Arch Pediatr Adolesc Med. 1999;153:672-674.
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WHEN IT comes to deciding how to cost-effectively care for children with sore throats, there is no doubt that it depends on the perspective. The analysis by Tsevat and Kotagal1 in this issue of the ARCHIVES provides timely, new information on the societal and parental perspectives. The analysis is well performed, and the "Assumptions" and "Costs" subsections of the "Methods" section draw reasonable and valid conclusions.
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From the societal perspective, at a cost of $6.85 per patient, all children with sore throats should generally have throat cultures obtained and receive treatment only if the culture is positive for group A  -hemolytic streptococci (GABHS). This strategy is the most effective and least costly. Other strategies are less effective and more costly: enzyme immunoassay (EIA) rapid antigen test ($2.06 more [$8.91] per patient); EIA rapid test followed by a culture if the test results are negative ($3.60 more [$10.45] . . . [Full Text of this Article]
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Management of Sore Throats in Children: A Cost-effectiveness Analysis
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Arch Pediatr Adolesc Med. 1999;153(7):681-688.
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