Evidence map›Paper›PMID 23457502›Full record

SynthesisPloS one2013

A systematic review of reported cost for smear and culture tests during multidrug-resistant tuberculosis treatment.

Chunling Lu, Qing Liu, Aartik Sarma, Christopher Fitzpatrick, Dennis Falzon, Carole D Mitnick

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Cost of TB services: approach and summary findings of a multi-country study (Value TB).The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  6. Article
  7. Profiles of Volatile Biomarkers Detect Tuberculosis from Skin.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. More on Treatment Outcomes in Multidrug-Resistant Tuberculosis.The New England journal of medicine · 2016
    Article
  13. Cost-effectiveness of isoniazid preventive therapy for HIV-infected pregnant women in India.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2016
    Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chunling LuDivision of Global Equity, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States of America. Chunling_Lu@hms.harvard.edu
Qing Liu
Aartik Sarma
Christopher Fitzpatrick
Dennis Falzon
Carole D Mitnick

Funding

The Role of Development Assistance for Health in Reducing Child MortalityK01HD071929 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI LU, CHUNLING · 2012 to 2016
$686k
NICHD NIH HHS 1K0HD07 1929-01NICHD NIH HHS K01 HD071929
6 · The paper itself

Abstract

backgroundIn 2011, World Health Organization revised its recommendation for microbiological monitoring during treatment for multidrug-resistant tuberculosis (MDR-TB) by increasing the frequency of culture examination from quarterly to monthly after culture conversion. Implementing the recommendation requires substantial additional investment in laboratory infrastructure. The objective of this review is to provide cost evidence that is needed for national TB programs to budget for optimal monitoring strategies. METHODS AND

findingsWE CONDUCTED THE FIRST SYSTEMATIC LITERATURE REVIEW ON UNIT COST ESTIMATES OF THREE MONITORING STRATEGIES: 1) smear only; 2) culture only; 3) combined smear and culture. 26 peer-reviewed studies were selected by searching 10 databases in English and Chinese for literature published between 1995 and 2012. Cost estimates were converted into 2010 constant USD and international dollars. We assessed the quality of the estimates using a matrix with five essential elements and provided a cost projection for the combined smear and culture tests where the data were available. The 26 studies reported the cost estimates in 16 predominantly high- or middle-income countries from 1993 to 2009. The estimated unit cost for smear, culture, and combined tests ranges from $0.26 to $10.50, $1.63 to $62.01, and $26.73 to $39.57, respectively. The ratio of culture to smear costs varies from 1.35 to 11.98. The wide range of estimates is likely attributable to using different laboratory methods in different regions and years and differing practices in collecting and reporting cost data. Most studies did not report information critical for generalizing their conclusions.

conclusionThe paucity and low quality of unit cost estimates for TB monitoring in resource-poor settings impose technical challenges in predicting the resources needed for strengthening microbiological monitoring. To improve the validity and comparability of the cost data, we strongly advocate the data collection, estimation, and reporting follow protocols proposed by WHO.

Indexed as

Antitubercular AgentsBacteriological TechniquesCost-Benefit AnalysisHumansMycobacterium tuberculosisTuberculosis, Multidrug-ResistantWorld Health OrganizationAntitubercular Agents

Identifiers

PMID23457502
PMCPMC3574085

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.