Table 3. A comparison of different theoretical diagnostic scenarios.
Diagnostic method | Mean Delay | Mean Cost | Mean <1?show=[sr]?>Drop-out Rate |
2 smears (Standard method)1 | 46.1 | 25.54 | 224.8 |
Same-day Diagnosis2 | 38.6 | 221.3 | |
2 smears, treat ss-based on CXR3 | 38.7 | 21.50 | 218.7 |
2 smears, increase P(make visit)4 | 38.8 | 25.71 | 156.6 |
1-stop diagnosis5 | 43.4 | 219.8 | |
2 smears6 | 43.8 | 24.10 | 219.6 |
3 smears7 | 45.2 | 28.00 | 219.6 |
2 smears HIV+patient cohort8 | 61.4 | 32.44 | 243.2 |
LJ culture9 | 66.3 | 183.2 |
Notes:
Sensitivity = 0.55, 2 days delay in producing SSM test results.
Sensitivity = 0.59 (same as for 3 smears), zero delay in delivering sputum, producing results and in patient collecting results.
Sensitivity = 0.55, 2 days delay in producing SSM test results, P(treating ss-based on CXR) = 0.5 (up from 0.1).
Sensitivity = 0.55, 2 days delay in producing SSM test results, P(make 1st visit to clinic on given day) = 0.1 (up from 0.05).
Sensitivity = 0.59 (same as for 3 smears), zero delay in delivering sputum.
Sensitivity = 0.59 (same as for 3 smears due to reduced work load), 2 days delay in producing SSM test results.
Sensitivity = 0.59, 3 days delay in producing SSM test results.
Sensitivity = 0.36, rates of abnormal CXR kept the same, culture time for ss-patients = 8 weeks (up from 6), sensitivity ss-SSM kept the same.
LJ culture used in place of initial SSM test, culture time = 42 days, sensitivity = 1.0