Table 1.
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