Table 1. Input variables for epidemiologic and diagnostic parameters used in the base-case and sensitivity analyses.
Variable | Base Value | Range | Reference |
Epidemiologic Parameters | |||
TB prevalence among patients evaluated for TB (%) | 6.4 | 0.5–15 | Clinical data† |
Proportion admitted during the daytime* (%) | 24 | 10–50 | Clinical data‡ |
No indication for admission except TB evaluation (%) | 13 | 0–25 | Clinical data‡ |
Number of annual inpatient TB evaluations | 234 | 50–1000 | Clinical data† |
Diagnostic Parameters | |||
Sensitivity of Xpert (%) | |||
Smear-positive specimens | 98 | 97–99 | [19] |
Smear-negative specimens | 68 | 59–75 | [19] |
Specificity of Xpert (%) | |||
Smear-positive specimens | 98 | 92–100 | [19] |
Smear-negative specimens | 98 | 97–99 | [19] |
Sensitivity of smear microscopy (%) | 78.5 | 65–92 | [24] |
Specificity of smear microscopy (%) | 98 | 97–99 | [24] |
Definition of abbreviations: TB = tuberculosis.
Legend:
Admitted between 9 am–4 pm.
Microbiology laboratory database and patient chart review.
SFGH inpatient admission database.