Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2002-8-30
pubmed:abstractText
We analyzed the cost-effectiveness of 3 sealant delivery strategies: Seal all (SA), seal children assessed to be at risk by screening (TARGET), and seal none (SN). We assumed a nine-year analytic horizon, a 3% discount rate, and zero screening costs. Estimates for sealant costs ($27.00) and restoration costs ($73.77), annual caries increment (0.0624 surfaces), sealant failure rate (20% in yr 1 and 3% thereafter), annual amalgam failure rate (4.6%), and sensitivity (0.635) and specificity (0.795) of screening were obtained from published studies. Under baseline assumptions, TARGET dominated (cost less and reduced caries) SA and SN. If annual caries increment exceeded 0.095 surfaces, SA dominated TARGET, and if increment exceeded 0.05 surfaces, TARGET dominated SN. If sealant costs decreased to $6.00 (reported cost for school programs), TARGET dominated SN for caries increments exceeding 0.007 surfaces, and SA dominated TARGET for caries increments exceeding 0.034 surfaces.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0022-0345
pubmed:author
pubmed:issnType
Print
pubmed:volume
81
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
641-5
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12202648-Child, pubmed-meshheading:12202648-Cost-Benefit Analysis, pubmed-meshheading:12202648-DMF Index, pubmed-meshheading:12202648-Delivery of Health Care, pubmed-meshheading:12202648-Dental Amalgam, pubmed-meshheading:12202648-Dental Caries, pubmed-meshheading:12202648-Dental Caries Susceptibility, pubmed-meshheading:12202648-Dental Restoration, Permanent, pubmed-meshheading:12202648-Dental Restoration Failure, pubmed-meshheading:12202648-Drug Costs, pubmed-meshheading:12202648-Follow-Up Studies, pubmed-meshheading:12202648-Humans, pubmed-meshheading:12202648-Mass Screening, pubmed-meshheading:12202648-Models, Economic, pubmed-meshheading:12202648-Pit and Fissure Sealants, pubmed-meshheading:12202648-Risk Assessment, pubmed-meshheading:12202648-School Dentistry, pubmed-meshheading:12202648-Sensitivity and Specificity, pubmed-meshheading:12202648-United States
pubmed:year
2002
pubmed:articleTitle
Comparing the costs of three sealant delivery strategies.
pubmed:affiliation
Centers for Disease Control and Prevention/Division of Oral Health/Surveillance, Investigations and Research Branch, 4770 Buford Highway, MSF10, Chamblee, GA 30341, USA. sigl@cdc.gov
pubmed:publicationType
Journal Article, Comparative Study