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. Author manuscript; available in PMC: 2018 Apr 30.
Published in final edited form as: Int J Tuberc Lung Dis. 2015 Sep;19(9):1115–xv. doi: 10.5588/ijtld.15.0158

Table 1.

Selected Model Parameters

Description Value Source
Test Characteristics

Test characteristics for 3 sputum smears combined for active pulmonary TB 28
 Sensitivity All Ages 60%
 Specificity All Ages 100%
DST using Löwenstein-Jensen culture ~*
 Sensitivity All Ages 100%
 Specificity All Ages 100%
Time required before patient is notified of DST results All Ages 6 months 13

GeneXpert Test Characteristics

 Sensitivity non-MDR TB All Ages 90% 14
 Specificity non-MDR TB All Ages 98% 14
 Sensitivity for rifampin resistance All Ages 94% 14
 Specificity for rifampin resistance All Ages 97% 14
 Time before patient is notified of DST results All Ages 0 months (2 hours)
Public-Private Mix
Proportion of private patients within PPM system All Ages 0.7 5
Proportion of patients referred to public system All Ages 0.6 5

Treatment Uptake

Probability of being tested for TB, no prior treatment All Ages 0.0009 Calibrated
Probability of being tested for TB, prior treatment All Ages 0.0013 Calibrated
Overall monthly probability of receiving RNTCP treatment for treatment naïve active TB case, given treatment is available Age Males Females Calibrated, 16,2
0 0.0968 0.0402
20 0.1254 0.0477
30 0.1800 0.0861
40 0.3743 0.1033
50 0.4505 0.1244
60 0.6000 0.1158
70 0.3346 0.0326
Overall monthly probability of receiving RNTCP treatment if treatment experienced active TB case, given treatment is available 0 0.2178 0.0905 Calibrated, 16,2
20 0.2821 0.1073
30 0.4051 0.1939
40 0.6000 0.2325
50 0.6000 0.2799
60 0.6000 0.2606
70 0.6000 0.0734

Public Treatment

Category I/III treatment Male Female 16,12,29
 Probability of death**** All Ages 0.0101 0.0101
 Default probability, given not dead**** 0 0.02383 0.02421
20 0.02337 0.0178
30 0.02145 0.01767
40 0.01663 0.01532
50 0.02278 0.01246
60 0.02222 0.01151
70+ 0.02256 0.02038
 Probability of successful treatment, given patient has been in treatment for required time and not died nor defaulted**** All Ages 0.98 0.98
Category II treatment Male Female 16,12
 Probability of death**** All Ages 0.026 0.026
 Default probability, given not dead**** 0 0.05804 0.05895
20 0.0569 0.04335
30 0.05223 0.04303
40 0.04051 0.0373
50 0.05547 0.03034
60 0.05411 0.02803
70+ 0.05493 0.04963
Probability of successful treatment, given patient has been in treatment for required time and not died nor defaulted**** All Ages 0.94 0.94
 Probability of testing SS+ at 4 months and receiving DST (per RNTCP protocol) All Ages 0.57 10
Probability of developing MDR TB if default from treatment All Ages 0.242 30
Probability of developing MDR TB if fail from treatment All Ages 0.187 30
Probability of having latent TB after treatment All Ages 0.197 30
Category IV treatment
 Probability of death in category IV treatment All Ages 0.01689 31
 Default probability, given not dead All Ages 0.01749
 Probability of successful treatment, given patient has been in treatment for required time and not died nor defaulted All Ages 0.7375

Private Treatment Parameters

Probability of cure in one private clinic treatment episode All Ages 0.0211 *
Probability of MDR acquisition in private clinic treatment episode All Ages 0.0055 **
Maximum number of private clinic treatment episodes per active TB case All Ages 7 3
Duration (in months) of one private clinic treatment episode All Ages 1 3

Self Cure

Monthly Probability of Self Cure All Ages 0.0064 ***

The remaining model parameters may be found in Suen 2012 9, where the model was described in detail.

~

* Presumptive Gold Standard

*

Equivalent to 15% over 8 months, the length of DOTS first line treatment

**

Equivalent to probability of default and acquiring MDR TB in public system

***

Equivalent to 20% over 3 years.

****

Cumulative probabilities of death, default, failure, and success for a complete treatment regimen is given in Table 2