TY - JOUR PY - 2002// TI - Cost-effectiveness of roll-over protective structures JO - American journal of industrial medicine A1 - Pana-Cryan, Regina A1 - Myers, Melvin L. SP - 68 EP - 71 VL - 42 IS - Suppl 2 N2 - BACKGROUND: Roll-over protective structures (ROPS) are proven to prevent fatalities from agricultural tractor overturns, accounting for more than one-third of all production agriculture-related fatalities in the United States. In 1997, there were approximately 1.2 million ROPS-retrofittable tractors in the United States. METHODS: A decision analysis is used to compare the health outcomes of installing ROPS on retrofittable tractors, relative to doing nothing. A cost-effectiveness analysis builds on these results to assess the costs and benefits of installing ROPS on retrofittable tractors. RESULTS: Doing nothing would result in 1,450 fatalities and 1,806 nonfatal injuries, while installing ROPS would prevent 1,176 fatalities and 957 nonfatal injuries. Installing ROPS would cost $489,373 per injury prevented. CONCLUSIONS: Installing ROPS on retrofittable tractors would reduce fatalities from tractor overturns by more than 80% and nonfatal injuries by about 53%. The cost per injury prevented would be similar to that of other injury-preventing interventions. ROPS would help prevent additional injuries from falling off tractors and tractor collisions with motor vehicles. LA - SN - 0271-3586 UR - http://dx.doi.org/10.1002/ajim.10080 ID - ref1 ER -