<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462025000700059</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.24000171</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Cost-effectiveness analysis of child development evaluation test (CDE test or Prueba EDI) in children under 5 years old in Mexico: a simulation model study]]></article-title>
<article-title xml:lang="es"><![CDATA[Análisis de costo-efectividad de la prueba evaluación del desarrollo infantil (Prueba EDI) en niños y niñas menores de 5 años de edad en México: un estudio de modelo de simulación]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Lira]]></surname>
<given-names><![CDATA[José R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zapata-Vázquez]]></surname>
<given-names><![CDATA[Rita E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-López]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rizzoli-Córdoba]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Developmental-Behavioral Pediatrics Service ]]></institution>
<addr-line><![CDATA[ Mexico City]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Yucatán Facultad de Medicina Unidad Interinstitucional de Investigación Clínica y Epidemiológica]]></institution>
<addr-line><![CDATA[Mérida ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Centro de Estudios Económicos y Sociales en Salud ]]></institution>
<addr-line><![CDATA[ Mexico City]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>82</volume>
<fpage>59</fpage>
<lpage>65</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462025000700059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462025000700059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462025000700059&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The Health Ministry has incorporated the Child Development Evaluation test (CDE test) as the national screening tool for children &lt; 5 years old. The aim of this study is to analyze the cost-effectiveness of the CDE test compared to standard medical consultation in Mexico.  Methods: The study was conducted with information available until 2020. A cost-effectiveness analysis was conducted from perspective of the public/social sectors in Mexico with a decision tree model to evaluate the strategies. The time horizon was set at 1 year, no discounting applied. Costs were calculated in Mexican pesos (MXN) at 2019 prices and included both direct/indirect costs. Direct costs encompassed CDE test administration, specialist consultations, and rehabilitation sessions. Indirect costs considered transportation expenses and lost wages related to caregiving. To account for variability and uncertainty, a Monte Carlo simulation with 10,000 iterations was performed. Probabilistic sensitivity analysis was conducted to test robustness of the results.  Results: The results confirm that the CDE test consistently outperforms the standard approach, delivering improved outcomes at reduced costs in the majority of scenarios. The incremental net monetary benefit of implementing CDE screening was $44,608 MXN (2019 value), providing additional evidence of its cost-effectiveness.  Conclusion: This study suggests that the CDE test is cost-saving from the public and social sector perspective, generating a net increase in both monetary benefits and health outcomes. Furthermore, its implementation is feasible within the Mexican healthcare system, particularly considering its potential to enhance long-term efficiency.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La prueba de Evaluación del Desarrollo Infantil (prueba EDI) es una herramienta de tamizaje para detección de problemas del desarrollo en niños &lt; 5 años. Objetivo: analizar la costo-efectividad de la prueba EDI en comparación con la consulta médica estándar en México.  Métodos: El estudio se realizó con información disponible hasta 2020. Se realizó un análisis de costo-efectividad desde la perspectiva del sector público/social en México con un modelo de árbol de decisión para evaluar las estrategias. El horizonte temporal se fijó en un año, sin aplicar descuentos. Los costos se calcularon en pesos mexicanos (MXN) a precios de 2019 e incluyeron costos directos e indirectos. Los costos directos abarcaron la administración de la prueba EDI, consultas de especialistas y sesiones de rehabilitación. Los costos indirectos consideraron gastos de transporte y salarios perdidos relacionados con el cuidado. Para la variabilidad/incertidumbre, se realizó una simulación de Monte Carlo con 10.000 iteraciones. Se realizó un análisis de sensibilidad probabilístico (PSA) para probar la solidez de los resultados.  Resultados: Los resultados confirman que la prueba EDI supera consistentemente el enfoque estándar, brindando mejores resultados a costos reducidos en la mayoría de los escenarios. El beneficio monetario neto incremental (INMB) de implementar la prueba EDI fue de $44,608 MXN (valor de 2019).  Conclusión: Este estudio sugiere que la prueba EDI ahorra costos desde la perspectiva del sector público y social, generando un aumento neto tanto en beneficios monetarios como en resultados de salud. Su implementación es factible dentro del sistema de salud mexicano.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Mass screening]]></kwd>
<kwd lng="en"><![CDATA[Child development]]></kwd>
<kwd lng="en"><![CDATA[Cost effectiveness]]></kwd>
<kwd lng="en"><![CDATA[Economic analysis]]></kwd>
<kwd lng="en"><![CDATA[Screening]]></kwd>
<kwd lng="es"><![CDATA[Desarrollo infantil]]></kwd>
<kwd lng="es"><![CDATA[Prueba de tamizaje]]></kwd>
<kwd lng="es"><![CDATA[Tamizaje masivo]]></kwd>
<kwd lng="es"><![CDATA[Costo efectividad]]></kwd>
<kwd lng="es"><![CDATA[Análisis económico]]></kwd>
</kwd-group>
</article-meta>
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