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. Author manuscript; available in PMC: 2014 Jan 1.
Published in final edited form as: Am J Kidney Dis. 2012 Jul 10;61(1):10.1053/j.ajkd.2012.06.004. doi: 10.1053/j.ajkd.2012.06.004

Table 1.

Model inputs: probabilities, rates, quality of life, and costs

Variable Base-Case Value* Base-Case References Distribution Type Other references

Probabilities and Rates
Sensitivity TST 0.90 (0.88–1.00) 5, 58 logit 6, 31, 46, 47, 51,

Specificity TST 0.68 (0.52–0.84) 5, 46 logit 55, 5862

Sensitivity questionnaire 0.46 34 - 63

Specificity questionnaire 0.94

Sensitivity IGRA 0.90 (0.77–0.99) 3, 5, 31, 47, 53, 58 logit 46, 55, 59, 64

Specificity IGRA 0.97 (0.90–1.00)

IGRA indeterminate 0.03 (0.02–0.05) 31 logit 3, 21, 53

Prevalence of LTBI 0.011 (0.005–0.024) 42 logit 52, 6567

RR of LTBI reactivation while on steroids 7.7 (2.8–21.4) 25 log normal 810, 68

Probability of death from TB on steroids 0.01 estimated - 11, 31, 68

INH effectiveness 75% 13 - 6, 7, 13, 31, 47, 50, 52, 6971

INH hepatitis 0.004 (0.001–0.010) 6 beta 31

Death from INH hepatitis 0.00002 6, 27

Probability of death from active NS 0.007 72 - 16, 17, 73

Probability of active TB on initial presentation 0.00001 74

Discount rate (per y) 3%

Utilities
Well 1.0 -

Latent TB 0.997 31, 75, 76 - 30

Active TB 0.68 (0.65–0.72) 26, 30 logit 31

NS 0.90 77 -

INH hepatitis x 1 mo 0.85 31 - 52

Death 0.0 -

Costs (2010 United States $)
TST 39.64 36 - 31, 47, 51, 66, 7880
Test 6.88
Nurse Interpretation 3.50
Travel time/lost work 29.26

Questionnaire 1.62 51 -

IGRA 84.56 36 45

LTBI 772.29 6, 36, 37 - 13, 31, 47, 51, 52, 66, 78, 80
Level 4 visit 98.70
Chest x-ray (2 views) 30.45
Level 3 visit x 8 312.64
9 mo of INH 67.16
Parent lost time x 9 263.34

Active TB 60,000.00 31 - 18, 31, 35, 47, 5052, 66, 78, 80, 81

INH hepatitis x 1 mo 539.74 31, 36, 37 -
Level 4 visit x 2 197.40
Liver function tests x 2 17.78
Parent lost time x 2 58.52
6 mo of rifampin 266.04

Death (TB, hepatic failure, or NS) 100,000.00 estimated31 -
NS onset 420.48 36, 78, 82 -
Level 3 visit x 3 117.24
Steroids x 6 mo 215.46
Parent lost time x 3 87.78

NS relapse 140.16 36, 78, 82 -
Level 3 visit x 1 39.08
Steroids x 1 mo 71.82
Parent lost time x 1 29.26
*

Values in parentheses are 95% confidence interval or clinically plausible range.

Abbreviations: TB, tuberculosis; LTBI, latent tuberculosis infection; IGRA, interferon-γ release assay; NS, nephrotic syndrome; INH, isoniazid; TST, tuberculin skin testing; RR, relative risk;