Table 1 Summary of characteristics of economic evaluations of chlamydia screening interventions, in chronological order.
First author, year, reference | Type of screening | Outcome | Model | Target population | Cost effectiveness, screening recommended | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SO | SP | NSO | NSP | MOA | Short term | Static | TDM | F | M&F | M | Yes | No | Comments | |
Adams, 200422 | √ | n/a | None | √ | – | Cost study only | ||||||||
Hu, 200424 | √ | √ | √ | √ | √ | Annual screening women 15–29 years cost effective. Cost per quality adjusted life year (QALY) reported | ||||||||
Blake, 200413 | √ | √ | √ | √ | Universal NAAT screening most cost effective | |||||||||
Ginocchio, 200326 | √ | √ | √ | √ | √ | – | Cost effectiveness if test costs <$18 | |||||||
Mehta, 200225 | √ | √ | √ | √ | √ | Mass treatment most cost effective | ||||||||
Wang, 200241 | √ | √ | √ | √ | √ | School based screening cost saving | ||||||||
Postma, 200114 | √ | √ | √ | √ | – | Partner notification improves cost effectiveness | ||||||||
Van Valkengoed, 200142 | √ | √ | √ | √ | √ | NSP screening women 15–40 years not cost effective | ||||||||
Goeree, 200137 | √ | √ | √ | √ | – | Screening high risk women most cost effective | ||||||||
Postma, 200127 | √ | √ | √ | √ | √ | Screen women under 30 years | ||||||||
Welte, 200028 | √ | √ | √ | √ | Screening may be cost saving in long run. High estimated probability of complications | |||||||||
Townshend, 200029 | √ | √ | √ | √ | √ | Screening cost saving after 4 years. Poor reporting of cost data | ||||||||
Howell, 200039 | √ | √ | √ | √ | √ | Screening army recruits is cost effective | ||||||||
Shafer, 199915 | √ | √ | √ | – | ICER presented. Judgment unclear | |||||||||
Howell, 199940 | √ | √ | √ | √ | √ | Age based screen cost saving | ||||||||
Howell, 199830 | √ | √ | √ | √ | – | Age based screening most cost effective | ||||||||
Gunn, 199823 | √ | √ | None | √ | – | Result presented as cost per case | ||||||||
Paavonen, 199831 | √ | √ | √ | √ | √ | NSO screening cost effective even at low prevalence | ||||||||
Genc, 199632 | √ | √ | √ | √ | – | Cost effective under specific conditions | ||||||||
Marrazzo, 199733 | √ | √ | √ | √ | √ | Screening in FP/STD clinics cost saving | ||||||||
Genc, 199334 | √ | √ | √ | √ | – | Cost effective under specific conditions | ||||||||
Sellors, 199216 | √ | √ | None | √ | – | SO screening cost effective compared to NSP | ||||||||
Nettleman, 199117 | √ | √ | None | √ | √ | Not cost effective to screen all pregnant women | ||||||||
Buhaug, 198918 | √ | √ | √ | √ | √ | Testing cost effective for women <24 yrs only | ||||||||
Buhaug, 198919 | √ | √ | √ | √ | √ | Testing cost effective for women 18–24 years only | ||||||||
Begley, 198935 | √ | √ | None | √ | √ | Screening in FP clinics is cost effective | ||||||||
Skjeldestad, 198820 | √ | √ | None | √ | – | Screening for women seeking abortion | ||||||||
Trachtenberg, 198821 | √ | √ | √ | √ | √ | Screening asymptomatic women is cost effective | ||||||||
Phillips, 198736 | √ | √ | √ | √ | √ | Testing for C. trachomatis is cost effective |
SO, selective opportunistic screening; SP, selective population screening; NSO, non‐selective opportunistic screening; NSP, non‐selective population screening; MOA, major outcome averted; TDM, transmission dynamic model; M, males; F, females; NAAT, nucleic acid amplification test; ICER, incremental cost effectiveness ratio; “–” implies that screening is only cost effective under certain conditions or against certain comparators.