Is it worth screening quarry workers for TB infection in high-incidence areas? A cost-benefit analysis.
Respir Med
; 234: 107807, 2024 Sep 11.
Article
en En
| MEDLINE
| ID: mdl-39271084
ABSTRACT
BACKGROUND:
Tuberculosis (TB) infection screening of high-risk groups is an important strategy for achieving End TB targets. A TB infection screening program was implemented for quarry workers from a Portuguese high-incidence area in 2018-2022. We aimed to calculate the cost-benefit of the screening program from the societal perspective.METHODS:
We calculated medical and non-medical direct and indirect screening costs and compared them with the cost savings from averted cases of TB disease. We estimated the number of potentially averted TB disease cases based on the risk of progression of TB infection to TB disease found in the literature.RESULTS:
During the screening program, 997 workers were screened. TB infection was diagnosed in 215 workers, 150 of those initiated preventive treatment. Screening program total costs were 136,295. Twenty-nine TB cases were potentially prevented, what would have costed 152,386. Savings of 16,091 were obtained (4516, 40898, and -29322 from the workers, employers, and NHS, respectively).CONCLUSIONS:
The monetary benefit of a TB infection screening program directed to quarry workers in a high-incidence area was greater than its cost. Companies and workers saved substantially more money. TB infection tests that are better predictors of progression to TB disease could reduce NHS costs.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Respir Med
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Reino Unido