Skip to main content
. 2006 Jun;82(3):193–200. doi: 10.1136/sti.2005.017517

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.