title: The estimated cost of school scoliosis screening.
abstract: METHODS
  This is a population-based, longitudinal retrospective study of one community's school-based scoliosis screening program.
  
  
  OBJECTIVE
  To report the estimated costs of mass school-based screening for scoliosis.
  
  
  BACKGROUND
  School scoliosis screening has been reported to cost from as little as $0. 06 to as much as $194 per child. The lower estimate considered only the cost to the school, and the higher estimate defined all children with curves of 5 degrees or more as cases.
  
  
  METHODS
  School scoliosis screening results were linked with the medical and chiropractic care records of all referred children to identify outcomes and scoliosis-related health service utilization from Grade 5 through graduation or age 19 years. Costs are presented per child screened, per child with a spinal curve of 20 degrees or more, and per child treated for scoliosis and are based on scoliosis-related health care utilization and school costs.
  
  
  RESULTS
  Ninety-two (4.1%) of 2197 children screened were referred for further evaluation of possible scoliosis, and 68 (74%) of those had documented evaluation for possible scoliosis. Five of the 92 children referred were treated for scoliosis by age 19. Sixty-six scoliosis-related primary care visits, 79 scoliosis-related orthopedist visits, and 79 full spine radiographs followed referral but preceded treatment. Case-finding costs for screening were $24.66 per child screened (n = 2197), $3, 386.25 per child with a curve of 20 degrees or more (n = 16) and $10, 836.00 per child treated for scoliosis (n = 5).
  
  
  CONCLUSIONS
  School scoliosis screening is significantly more costly than has previously been reported.
authors.affiliation: Department of Research, Olmsted Medical Center, Rochester, Minnesota 55904, USA.
authors.forename: B P
authors.initials: BP
authors.lastname: Yawn
authors.forename: R A
authors.initials: RA
authors.lastname: Yawn
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D012189:Retrospective Studies; D012572:School Health Services / Q000191:economics*; D012600:Scoliosis / Q000175:diagnosis / Q000191:economics*