Evidence map›Paper›PMID 27956460›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Investment Success in Public Health: An Analysis of the Cost-Effectiveness and Cost-Benefit of the Global Programme to Eliminate Lymphatic Filariasis.

Hugo C Turner, Alison A Bettis, Brian K Chu, Deborah A McFarland, Pamela J Hooper, Sunny D Mante, Christopher Fitzpatrick, Mark H Bradley

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Economic Evaluations of Mass Drug Administration: The Importance of Economies of Scale and Scope.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Costs of mass drug administration for scabies in Fiji.PLoS neglected tropical diseases · 2022
    Article
  13. Article
  14. Article
  15. Review
  16. Medicine donation programmes supporting the global drive to end the burden of neglected tropical diseases.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. The Health and Economic Burdens of Lymphatic Filariasis Prior to Mass Drug Administration Programs.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    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

8 authors.

Hugo C TurnerLondon Centre for Neglected Tropical Disease Research, London, UK.
Alison A BettisLondon Centre for Neglected Tropical Disease Research, London, UK.
Brian K ChuNeglected Tropical Diseases Support Center, Task Force for Global Health, Decatur, Atlanta, GA, USA.
Deborah A McFarlandRollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Pamela J HooperNeglected Tropical Diseases Support Center, Task Force for Global Health, Decatur, Atlanta, GA, USA.
Sunny D ManteUrology Unit, 37 Military Hospital, Korle-Bu, Accra, Ghana.
Christopher FitzpatrickDepartment of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.
Mark H BradleyGlobal Health Programs, GlaxoSmithKline, London, UK.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: It has been estimated that $154 million per year will be required during 2015-2020 to continue the Global Programme to Eliminate Lymphatic Filariasis (GPELF). In light of this, it is important to understand the program's current value. Here, we evaluate the cost-effectiveness and cost-benefit of the preventive chemotherapy that was provided under the GPELF between 2000 and 2014. In addition, we also investigate the potential cost-effectiveness of hydrocele surgery. Methods: Our economic evaluation of preventive chemotherapy was based on previously published health and economic impact estimates (between 2000 and 2014). The delivery costs of treatment were estimated using a model developed by the World Health Organization. We also developed a model to investigate the number of disability-adjusted life years (DALYs) averted by a hydrocelectomy and identified the cost threshold under which it would be considered cost-effective. Results: The projected cost-effectiveness and cost-benefit of preventive chemotherapy were very promising, and this was robust over a wide range of costs and assumptions. When the economic value of the donated drugs was not included, the GPELF would be classed as highly cost-effective. We projected that a typical hydrocelectomy would be classed as highly cost-effective if the surgery cost less than $66 and cost-effective if less than $398 (based on the World Bank's cost-effectiveness thresholds for low income countries). Conclusions: Both the preventive chemotherapy and hydrocele surgeries provided under the GPELF are incredibly cost-effective and offer a very good investment in public health.

Indexed as

InvestmentsAnthelminticsChemopreventionCost-Benefit AnalysisElephantiasis, FilarialGlobal HealthHealth Care CostsHumansOutcome Assessment, Health CarePublic HealthAnthelminticscost-benefiteconomic evaluationhydrocelectomy.lymphatic filariasispreventive chemotherapy

Identifiers

PMID27956460
PMCPMC5404931

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.