| Modeling an economic evaluation of a salt fluoridation program in Peru. | |
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MedLine Citation:
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PMID: 21774135 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: This article models the cost-effectiveness, from a societal viewpoint, of a dental caries prevention program using salt fluoridation for children 12 years of age, compared with non-intervention (or status quo) in Arequipa, Peru. METHODS: Standard cost-effectiveness analysis methods were used. The costs associated with implementing and operating the salt-fluoridation program were identified and measured using 2009 prices. Health outcomes were measured as dental caries averted over a 6-year period. Clinical effectiveness data was taken from published data. Costs were measured as direct treatment costs, programs costs and costs of productivity losses as a result of dental treatments. The incremental cost-effectiveness ratio was calculated. A hypothetical population of 25,000 12-year-olds living in Arequipa, Peru was used in this analysis. Two-way sensitivity analyses were conducted over a range of values for key parameters. RESULTS: Our primary analysis estimated that if a dental caries prevention program using salt-fluoridation was available for 25,000 6-year-old children for 6 years, the net saving from a societal perspective would total S/. 11.95 [1 US$ = S/. (2009) 3.01] per diseased tooth averted when compared with the status quo group. That is, after 6 years, an investment of S/.0.32 per annum per child would result in a net saving of S/.11.95 per decayed/missing/filled teeth prevented. CONCLUSIONS: While the analysis has inherent limitations as a result of its reliance on a range of assumptions, the findings indicate that for the situations prevailing in Peru, there are significant health and economic benefits to be gained from the use of salt fluoridation. |
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Authors:
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Rodrigo J Mariño; Jorge Fajardo; Ana Arana; Carlos Garcia; Flor Pachas |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of public health dentistry Volume: 71 ISSN: 0022-4006 ISO Abbreviation: J Public Health Dent Publication Date: 2011 |
Date Detail:
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Created Date: 2011-07-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0014207 Medline TA: J Public Health Dent Country: United States |
Other Details:
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Languages: eng Pagination: 125-30 Citation Subset: D; IM |
Affiliation:
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Cooperative Research Centre for Oral Health Science, University of Melbourne, VIC, Australia. rmarino@unimelb.edu.au |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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