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. 2013 Sep 4;8(9):e72470. doi: 10.1371/journal.pone.0072470

Table 1. Summary of key characteristics of studies under review.

Author Guzzetta et al. Mellor et al. Tian et al. Aparicio et al. Ziv et al.
Year 2011 2011 2011 2006 2001
Model Type Individual Based Model (Stochastic) Discrete Event (Stochastic) Systems Dynamics (Deterministic) Compartment (Deterministic) Compartment (Deterministic)
Contact Structure Multiple clusters – household, work, school, etc. Clustered households Homogeneous Homogeneous Homogeneous
Model Implementation Of Contact Structure Spatial network structure Clustering of HIV and TB infections N/A N/A N/A
Other Modelling Elements Reactivation, re- infection, spatial effects, age HIV, age, gender, Fast/Slow Latency, Re-infection, Non- infectious tracking Parallel classes for investigated and un- investigated cases Primary/Latent exposure classes Early/Late Latent classes
Interventions Contact tracing proposed but not implemented Contact Tracing, Targeted active case finding (HIV) Contact Tracing (approx.) Contact Tracing (approx.) Screening Contact Tracing (approx.) Screening
Implementation Of Contact Tracing N/A Direct simulation Transition rates between un-investigated and investigated compartments Increased treatment rates for latent TB Increased treatment rates for latent and active TB
Setting Low prevalence High prevalence Low prevalence Low prevalance Theoretical
Region USA Africa Canada USA Theoretical
Lifespan 80 years Calculated from life tables 37 years Varies (50–110 approx.) 50 years
Constant Population Yes Yes No No No
Transmissibility Varies 10 per person per year (1 in household) 18.8 per person per year Varies 7 per person per year
Mean Survival Time with TB 7.5 years 3.3 years without HIV 0.3 years with HIV 27 years 10 years 7.2 years
Duration of infectious period 0.3 years* 2.0 years 0.5 years 0.5 years 1.5 years
Sensitivity Analysis Variables which could not be directly estimated from data Analysis conducted for HIV prevalence only Coefficient and mean time of tracing contacts Variables which could not be directly estimated from data None
High Influence Parameters N/A HIV prevalence Contact detection rate N/A N/A
Validation Population compared to US census and CDC data Household and community transmission rates, TB incidence, HIV modeling, age distribution of pop validated against separate sources None None None
Recommendations Agent based models extended to include the effect of contact tracing, immigration; more data required to produce accurate estimates of transmission within households Strategy of targeting TB control at HIV+ could be cost effect intervention; future modeling should incorporate improvement to social network modeling – either through graphing/ network or introduction of spatial relationships between households Contact tracing is self- limiting in its cost effectiveness; individual based model with a network structure is next step Interventions which treat as few as 5% of recent infections Intervention which treats up to 40% of early LTBI
Self-reported limitations Immigration, social risk factors and genetic risk factors not taken into account. No cost effectiveness information for comparison with other interventions. No age, contact structure or vaccination considered. Does not account for HIV Preventative treatment may not be cost effective for certain targets. Does not account for HIV High treatment rates for latent infection hard to achieve in practice as tracing majority of infections is difficult.
*

Mean treatment duration assumed to be 0.5 years.

Study cites previous study in which sensitivity analysis was conducted but did not repeat for this study [38].