The diagnostic evaluation of children with cyclic vomiting: a cost-effectiveness assessment.

摘要: Because patients with cyclic vomiting often (82%) have a family history of migraines and (60%) respond to antimigraine therapy, we investigated whether an initial therapeutic trial could precede diagnostic testing. We used decision analysis program compare the cost benefit three treatment strategies. The costs strategies were extensive evaluation, $3020; empiric alone, $1830, upper GI series small-bowel follow-through (UGI-SBFT) plus treatment, $1600, respectively. When compared evaluation strategy, avoided 65% esophagogastroduodenoscopys. On basis this analysis, UGI-SBFT migraine therapy was most cost-effective strategy treat syndrome. complications missed malrotation volvulus higher than that adding each evaluation.