Evidence map›Paper›PMID 34755146›Full record

ArticleLancet regional health. Americas2022

Cost-Effectiveness of the COVID-19 Test, Trace and Isolate Program in Colombia.

Yenny Guzmán Ruiz, Andres I Vecino-Ortiz, Nicolás Guzman-Tordecilla, Rolando Enrique Peñaloza-Quintero, Julián A Fernández-Niño, Maylen Rojas-Botero, Fernando Ruiz Gomez, Sean D Sullivan, Antonio J Trujillo

Abstract read
In one paragraph

Article in Lancet regional health. Americas, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

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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

9 authors.

Yenny Guzmán RuizDepartment of Health Services. University of Washington. Fulbright Pasaporte a la Ciencia Grantee. Seattle, WA USA.
Andres I Vecino-OrtizDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA.
Nicolás Guzman-TordecillaInstitute of Public Health, Pontificia Universidad Javeriana, Bogotá, Colombia.
Rolando Enrique Peñaloza-QuinteroInstitute of Public Health, Pontificia Universidad Javeriana, Bogotá, Colombia.
Julián A Fernández-NiñoMinistry of Health and Social Protection of Colombia, Bogotá, Colombia.
Maylen Rojas-BoteroMinistry of Health and Social Protection of Colombia, Bogotá, Colombia.
Fernando Ruiz GomezMinistry of Health and Social Protection of Colombia, Bogotá, Colombia.
Sean D SullivanSchool of Pharmacy. University of Washington. Seattle, WA USA.
Antonio J TrujilloDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, Test-Trace-Isolate (TTI) programs have been recommended as a risk mitigation strategy. However, many governments have hesitated to implement them due to their costs. This study aims to estimate the cost-effectiveness of implementing a national TTI program to reduce the number of severe and fatal cases of COVID-19 in Colombia.

methodsWe developed a Markov simulation model of COVID-19 infection combined with a Susceptible-Infected-Recovered structure. We estimated the incremental cost-effectiveness of a comprehensive TTI strategy compared to no intervention over a one-year horizon, from both the health system and the societal perspective. Hospitalization and mortality rates were retrieved from Colombian surveillance data. We included program costs of TTI intervention, health services utilization, PCR diagnosis test, productivity loss, and government social program costs. We used the number of deaths and quality-adjusted life years (QALYs) as health outcomes. Sensitivity analyses were performed.

findingsCompared with no intervention, the TTI strategy reduces COVID-19 mortality by 67%. In addition, the program saves an average of $1,045 and $850 per case when observed from the social and the health system perspective, respectively. These savings are equivalent to two times the current health expenditures in Colombia per year.

interpretationThe TTI program is a highly cost-effective public health intervention to reduce the burden of COVID-19 in Colombia. TTI programs depend on their successful and speedy implementation.

fundingThis study was supported by the Colombian Ministry of Health through award number PUJ-04519-20 received by EPQ AVO and SDS declined to receive any funding support for this study. The contents are the responsibility of all the individual authors.

Indexed as

Cost-effectiveness analysisCOVID-19risk assessment and mitigationTest-Trace-Isolate (TTI)

Identifiers

PMID34755146
PMCPMC8560002

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LicenceCC BY-NC-ND
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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.