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Cost effectiveness analysis application to industrial fluorosis



Cost effectiveness analysis application to industrial fluorosis



Fluoride 21(4): 177-184



Decision analysis was applied to potroom workers of the aluminum industry, either compensated for fluorosis or surveyed for being exposed to fluoride. Controls were non-exposed workers of the same industry or workers outside the aluminum industry. Bone fluoride content was shown to be the golden standard and to display the highest sensitivity and specificity. Different strategies, with various combinations of testing procedures, were identified as more or less cost-effective, following the prevalence of the disease. It was also suggested, that some strategies are better suited for screening workers for prevention, when diagnosing fluorosis for compensation.

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