Table 1.
Parameter Estimates for Cost-Effectiveness Analysis of Novel First-Line Treatment Regimens for Tuberculosis.
Parameter | Value | Sensitivity Range | Notes/References |
---|---|---|---|
Adherence, per 2 months | 0.97 | 0.95–0.98 | Fit to global treatment success rate(15) |
Probability of TB Cure (no recurrence) | |||
No treatment | 0.3 | 0–0.5 | Natural history(20) |
<2 months of standard therapy | 0.3 | 0–0.5 | Natural history(20) |
2–4 months of standard therapy | 0.69 | 0.3–0.86 | 2-month regimen(21) |
4–6 months of standard therapy | 0.87 | 0.7–0.95 | 4-month regimen(3) |
Full course of treatment | 0.97 | 0.95–0.98 | 6-month regimen(19) |
Probability of Death | |||
Treated TB | 0.04 | 0.03–0.12 | WHO notifications(15) |
Recurrent TB | 0.165 | 0.04–0.3 | Global TB mortality(15) |
Costs | |||
Drugs, standard regimen, per day | |||
Intensive Phase (2 months) | $0.24 | $0.07-$0.60 | Global Drug Facility(23) |
Continuation Phase (4 months) | $0.15 | $0.04-$0.29 | |
Drugs, 4-month regimen, per day | $1.00 | See Fig. 3 | Assumed |
Drugs, 2-month regimen, per day | $5.00 | Assumed | |
Treatment Delivery costs, per month: | WHO notifications(15) | ||
Low | |||
Intensive Phase | $24.53 | See Fig. 3 | |
Continuation Phase | $11.42 | See Fig. 3 | |
Moderate | |||
Intensive Phase | $49.53 | ||
Continuation Phase | $23.92 | ||
High | |||
Intensive Phase | $238 | ||
Continuation Phase | $118 | ||
DALYs suffered | Disability 0.271(25), age | ||
Cured TB (6 months disability) | 0.19 | 0–0.26 | 35, 35-year life |
Recurrent TB (6 + 12 months) | 0.56 | 0–0.7 | expectancy, 3% |
Never-treated TB (12 + 12 months) | 0.73 | 0–1.0 | discounting |
TB Death | 24.36 | 15–30 |