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Document ID (ISN)110453
CIS number 10-0062
ISSN - Serial title 0355-3140 - Scandinavian Journal of Work, Environment and Health
Year 2010
Convention or series no.
Author(s) Evanoff B., Kymes S.
Title Modeling the cost-benefit of nerve conduction studies in pre-employment screening for carpal tunnel syndrome
Bibliographic information 2010, Vol.36, No.4, p.299-304. Illus. 31 ref.
Abstract The aim of this study was to evaluate the costs associated with pre-employment nerve conduction testing as a screening tool for carpal tunnel syndrome (CTS) in the workplace. A Markov decision analysis model was used to compare the costs associated with a strategy of screening all prospective employees for CTS and not hiring those with abnormal nerve conduction, versus a strategy of not screening for CTS. The variables in the model included employee turnover rate, the incidence of CTS, the prevalence of median nerve conduction abnormalities, the relative risk of developing CTS conferred by abnormal nerve conduction screening, the costs of pre-employment screening and the worker's compensation costs to the employer for each case of CTS. It was found that the overall cost to employers was higher when screening was used, USD 503 for the screening strategy versus USD 200 for a no-screening strategy. Implications of these findings are discussed.
Descriptors (primary) carpal-tunnel syndrome; nervous conduction; pre-employment medical examinations; cost-benefit analysis
Descriptors (secondary) comparative study; mathematical models; economic aspects
Document type D - Periodical articles
Subject(s) Occupational pathology
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Vibration
Economic aspects