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. 2015 Apr 28;10(4):e0124525. doi: 10.1371/journal.pone.0124525

Table 1. Estimates for Model Parameters.

Parameter Base Value Range for Sensitivity Analysis Source
TB Dynamics
Probability of death, untreated smear-positive TB¹ 0.70 0.50–0.95 [37]
Probability of death, untreated smear-negative TB 0.20 0.15–0.25 [37]
Secondary TB infections per year, smear-positive TB 10 8–12 [38]
Relative infectiousness of smear-negative TB 0.22 0.16–0.28 [39]
Fraction of new TB cases that are smear-positive 0.53 0.40–0.66 [37]
Characteristics of TB diagnosis
Prevalence of active TB among persons with suspected active TB 0.14 0.11–0.18 [40]
Sensitivity for TB
 Clinician diagnosis² 0.53 0.40–0.67 [31]
 Sputum smear microscopy 0.53 0.34–0.65 [41]
 IGRA³ (QuantiFERON-TB Gold) 0.84 0.56–0.96 [4]
 Xpert MTB/RIF 4 (smear-positive TB) 0.98 0.97–0.99 [18]
 Xpert MTB/RIF (smear-negative TB) 0.67 0.58–0.74 [18]
Specificity for active TB 5
 Clinician diagnosis 0.94 0.75–1.00 [42]
 Sputum smear microscopy (two smears) 0.97 0.75–1.00 [43]
 Xpert MTB/RIF 0.98 0.97–0.99 [18]
 IGRA (QuantiFERON-TB Gold) 0.52 0.41–0.62 [4]
Xpert MTB/RIF Rif resistance
 Sensitivity 0.94 0.87–0.97 [18]
 Specificity 0.98 0.97–0.99 [18]
Time to TB diagnosis (days)
 Sputum smear microscopy 7 2.92–14.05 [44,45]
 GeneXpert MTB/RIF 7 0.50–14.05
 IGRA (QuantiFERON-TB Gold) 7 2.92–14.05
Loss to follow-up
 Sputum smear microscopy 0.15 0.11–0.19 [46,47]
 Xpert MTB/RIF 0.15 0.11–0.19
 IGRA (QuantiFERON-TB Gold) 0.15 0.11–0.19 [17]
Characteristics of TB treatment
Proportion of treated TB patients who die 0.045 0.033–0.056 [31]
Proportion of treated HIV 6 /TB patients who die 0.090 0.068–0.114 [31]
Proportion of treated TB patients infections at 1 year 0.045 0.033–0.056 [31]
HIV/TB
HIV prevalence, general population 0.3% 0.225–0.4% [48]
HIV prevalence, patients with TB 5.3% 4.0–6.6% [31]
Proportion of HIV-infected patients with ART 7 access 0.10 0.075–0.125 [48]
Costs and effectiveness, US Dollars (2013)
Unit cost, independent laboratory
 Sputum smear microscopy (two smears) $3.00 $1-$5 [24,49]
 Xpert MTB/RIF $25 $20-$57 [50]
 IGRA (QuantiFERON-TB Gold) $30 $15-$50 [27,30]
Mean cost of treating one case of drug-susceptible TB $66.00 $50-$75 [31]
Mean cost of treating one case of MDR 8 TB $2600 $500-$5500 [31]
DALY 9 weights
 Active TB 0.264 0.198–0.330 [51]
 TB treatment 0.132 0.099–0.165 [17]
Life expectancy after TB cure (years) 40 30–50 [52,53]

1 TB, Tuberculosis

2 In the absence of any TB-specific microbiological test

3 IGRA, Interferon-Gamma Release Assay

4 MTB/RIF, Mycobacterium tuberculosis and Rifampin Resistance Testing

5 Excludes studies not performed in developing countries

6 HIV, Human Immunodeficiency Virus

7 ART, antiretroviral therapy

8 MDR, Multi-drug resistant

9 DALY, Disability-Adjusted Life Year