A critique of recent economic evaluations of community water fluoridation
Identifieur interne : 001507 ( Main/Exploration ); précédent : 001506; suivant : 001508A critique of recent economic evaluations of community water fluoridation
Auteurs : Lee Ko [États-Unis] ; Kathleen M. ThiessenSource :
- International Journal of Occupational and Environmental Health [ 1077-3525 ] ; 2015.
Abstract
Although community water fluoridation (CWF) results in a range of potential contaminant exposures, little attention has been given to many of the possible impacts. A central argument for CWF is its cost-effectiveness. The U.S. Government states that $1 spent on CWF saves $38 in dental treatment costs.
To examine the reported cost-effectiveness of CWF.
Methods and underlying data from the primary U.S. economic evaluation of CWF are analyzed and corrected calculations are described. Other recent economic evaluations are also examined.
Recent economic evaluations of CWF contain defective estimations of both costs and benefits. Incorrect handling of dental treatment costs and flawed estimates of effectiveness lead to overestimated benefits. The real-world costs to water treatment plants and communities are not reflected.
Url:
DOI: 10.1179/2049396714Y.0000000093
PubMed: 25471729
PubMed Central: 4457131
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A critique of recent economic evaluations of community water fluoridation</title><author><name sortKey="Ko, Lee" sort="Ko, Lee" uniqKey="Ko L" first="Lee" last="Ko">Lee Ko</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Oakland, CA, USA</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Oakland, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Thiessen, Kathleen M" sort="Thiessen, Kathleen M" uniqKey="Thiessen K" first="Kathleen M" last="Thiessen">Kathleen M. Thiessen</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25471729</idno><idno type="pmc">4457131</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457131</idno><idno type="RBID">PMC:4457131</idno><idno type="doi">10.1179/2049396714Y.0000000093</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000470</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000470</idno><idno type="wicri:Area/Pmc/Curation">000470</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000470</idno><idno type="wicri:Area/Pmc/Checkpoint">001079</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001079</idno><idno type="wicri:Area/Ncbi/Merge">005679</idno><idno type="wicri:Area/Ncbi/Curation">005679</idno><idno type="wicri:Area/Ncbi/Checkpoint">005679</idno><idno type="wicri:doubleKey">1077-3525:2015:Ko L:a:critique:of</idno><idno type="wicri:Area/Main/Merge">001510</idno><idno type="wicri:Area/Main/Curation">001507</idno><idno type="wicri:Area/Main/Exploration">001507</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A critique of recent economic evaluations of community water fluoridation</title><author><name sortKey="Ko, Lee" sort="Ko, Lee" uniqKey="Ko L" first="Lee" last="Ko">Lee Ko</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Oakland, CA, USA</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Oakland, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Thiessen, Kathleen M" sort="Thiessen, Kathleen M" uniqKey="Thiessen K" first="Kathleen M" last="Thiessen">Kathleen M. Thiessen</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></analytic><series><title level="j">International Journal of Occupational and Environmental Health</title><idno type="ISSN">1077-3525</idno><idno type="eISSN">2049-3967</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background:</title><p>Although community water fluoridation (CWF) results in a range of potential contaminant exposures, little attention has been given to many of the possible impacts. A central argument for CWF is its cost-effectiveness. The U.S. Government states that $1 spent on CWF saves $38 in dental treatment costs.</p></sec><sec><title>Objective:</title><p>To examine the reported cost-effectiveness of CWF.</p></sec><sec><title>Methods:</title><p>Methods and underlying data from the primary U.S. economic evaluation of CWF are analyzed and corrected calculations are described. Other recent economic evaluations are also examined.</p></sec><sec><title>Results:</title><p>Recent economic evaluations of CWF contain defective estimations of both costs and benefits. Incorrect handling of dental treatment costs and flawed estimates of effectiveness lead to overestimated benefits. The real-world costs to water treatment plants and communities are not reflected.</p><p><bold>Conclusions:</bold> Minimal correction reduced the savings to $3 per person per year (PPPY) for a best-case scenario, but this savings is eliminated by the estimated cost of treating dental fluorosis.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Brown, Ra" uniqKey="Brown R">RA Brown</name></author><author><name sortKey="Cornwell, Da" uniqKey="Cornwell D">DA Cornwell</name></author><author><name sortKey="Macphee, Mj" uniqKey="Macphee M">MJ MacPhee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weng, C N" uniqKey="Weng C">C-N Weng</name></author><author><name sortKey="Smith, Db" uniqKey="Smith D">DB Smith</name></author><author><name sortKey="Huntley, Gm" uniqKey="Huntley G">GM 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Beck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Downer, Mc" uniqKey="Downer M">MC Downer</name></author><author><name sortKey="Blinkhorn, As" uniqKey="Blinkhorn A">AS Blinkhorn</name></author><author><name sortKey="Holt, Rd" uniqKey="Holt R">RD Holt</name></author><author><name sortKey="Wight, C" uniqKey="Wight C">C Wight</name></author><author><name sortKey="Attwood, D" uniqKey="Attwood D">D Attwood</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kunzel, W" uniqKey="Kunzel W">W Künzel</name></author><author><name sortKey="Fischer, T" uniqKey="Fischer T">T Fischer</name></author><author><name sortKey="Lorenz, R" uniqKey="Lorenz R">R Lorenz</name></author><author><name sortKey="Bruhmann, S" uniqKey="Bruhmann S">S Brühmann</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Thiessen, Kathleen M" sort="Thiessen, Kathleen M" uniqKey="Thiessen K" first="Kathleen M" last="Thiessen">Kathleen M. Thiessen</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Ko, Lee" sort="Ko, Lee" uniqKey="Ko L" first="Lee" last="Ko">Lee Ko</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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