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The Journal of Bone and Joint Surgery 80:1244 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Barbara P. Yawn, M.D., M.Sc., Panayotis N. Soucacos, M.D., Panayotis K. Soucacos, M.D., Konstantinos C. Zacharis, M.D., Alexandros E. Beris, M.D. and Theodore A. Xenakis, M.D.

TO THE EDITOR:

I read with great interest "School-Screening for Scoliosis. A Prospective Epidemiological Study in Northwestern and Central Greece" (79-A: 1498–1503, Oct. 1997), by Soucacos et al. The size of the cohort is very large and the immediate follow-up is complete. However, the cost analysis appears to be incomplete (and similar to analyses done previously by proponents of school-based screening programs1). The authors commented that the cost for the entire program was only about $25,000, which mainly reflected the cost of transportation. This is not comparable with the costs that would be associated with actual school-based screening programs. For example, the initial screening of 82,901 children resulted in the rescreening of 5803 children by the senior staff, but all of these examinations were done at no charge. In addition, 4185 children were sent for radiographic evaluation, but the cost of the radiographs does not appear to have been . . . [Full Text of this Article]


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