The purposes of this study were to compare universal blood lead screening for young children versus targeting by a risk assessment questionnaire and to examine the cost implications of each approach.
Costs reflect the total number of blood tests required and cost of specimen collection, handling, and testing per elevated case.
The setting included the metropolitan areas of Minneapolis and St.
Children (N=9603) from 17 community organizations had blood tests.
In addition, each child's parent or guardian completed a questionnaire assessing potential risk for lead poisoning.
Four different screening approaches are presented.
Each screening approach is presented with associated costs of overall screening and cost per child identified at blood levels of >= 10 mug/dl (N=1140) and >= 15 mug/dl (N=317).
Based on the screening strategy selected and an estimate of $17 per blood test, total screening costs ranged from $91,596 to $165,945.
The cost per child identified with elevated lead levels ranged from $361 to $523 at >= 15 and $105 to $146 at >= 10.
Nine to 13% of children would not have been detected by policies other than universal screening.
A geographically based approach was able to detect 90% of children with elevated blood levels at two-thirds the cost of universal screening.
Blood tests would be taken for all children living within city limits. (...)
Mots-clés Pascal : Plomb, Métal lourd, Détection, Dépistage, Homme, Enfant, Etude technicoéconomique, Coût, Economie santé, Etats Unis, Amérique du Nord, Amérique, Rapport coût bénéfice
Mots-clés Pascal anglais : Lead, Heavy metal, Detection, Medical screening, Human, Child, Technicoeconomic study, Costs, Health economy, United States, North America, America, Cost benefit ratio
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0197845
Code Inist : 002B03L05. Création : 16/11/1999.