Multi-drug-resistant tuberculosis cost-effectiveness of therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]

Overview

Treatment of tuberculosis must be analysed for relative cost effectiveness of inpatient and outpatient models of care as it will benefit regions where tuberculosis is highly prevalent. Unless there is severe complications it is highly recommended to treat the TB patient in ambulatory care rather than inpatient services.[1]

Cost-effectiveness of therapy

  • The average cost of treating a person with TB disease increases with greater resistance.
  • Direct costs (in 2010 U.S. dollars) average from $17,000 to treat drug-susceptible TB to $430,000 to treat the most drug-resistant form of the disease (XDR TB). [2]
  • When including productivity losses (e.g., lost income) experienced by patients while undergoing treatment, costs are even higher.[2]
Image obtained from CDC[2]

References

  1. Fitzpatrick C, Floyd K (2012). "A systematic review of the cost and cost effectiveness of treatment for multidrug-resistant tuberculosis". Pharmacoeconomics. 30 (1): 63–80. doi:10.2165/11595340-000000000-00000. PMID 22070215.
  2. 2.0 2.1 2.2 "CDC Drug-Resistant TB".

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