Evidence map›Paper›PMID 37226563›Full record

ArticleYonsei medical journal2023

Cost-Effectiveness of Age-Expanding Strategy of Latent Tuberculosis Infection Treatment in Household Contacts in South Korea.

Hyunwoo Cho, Jeongjoo Seok, Youngmok Park, Hee Jin Kim, Eun Hye Lee, Jungeun Park, Dong Ah Park, Young Ae Kang, Jeehyun Lee

Open access · goldAbstract read
In one paragraph

Article in Yonsei medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 26% of its field
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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Hyunwoo Cho *School of Mathematics and Computing (Computational Science and Engineering), Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0001-7895-4240
Jeongjoo Seok *School of Mathematics and Computing (Mathematics), Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0002-7162-4174
Youngmok ParkDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5669-1491
Hee Jin KimCentral Training Institute, Korean National Tuberculosis Association, Seoul, Korea.ORCID https://orcid.org/0000-0002-0128-2789
Eun Hye LeeDivision of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.ORCID https://orcid.org/0000-0003-2570-3442
Jungeun ParkDivision of Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency (NECA), Seoul, Korea.ORCID https://orcid.org/0000-0002-1129-5495
Dong Ah ParkDivision of Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency (NECA), Seoul, Korea.ORCID https://orcid.org/0000-0001-7225-3152
Young Ae KangDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-7783-5271
Jeehyun LeeSchool of Mathematics and Computing (Mathematics), Yonsei University, Seoul, Korea. ezhyun@yonsei.ac.kr.ORCID https://orcid.org/0000-0001-6143-2294
Yonsei University · KRKorea National Tuberculosis Association · KRNational Evidenc- based healthcare Collaborating Agency · KR

Funding

Ministry of Health and Welfare NA20-009Ministry of Health and Welfare NAM21-003National Research Foundation of Korea NRF-2023R1A2C1007324
6 · The paper itself

Abstract

purposeThe strategy of latent tuberculosis infection (LTBI) treatment in household tuberculosis (TB) contacts has been expanding in South Korea. However, there is little evidence of the cost-effectiveness of LTBI treatment in patients over 35 years of age. This study aimed to evaluate the cost-effectiveness of LTBI treatment among household TB contacts in different age groups in South Korea. MATERIALS AND

methodsAn age-structured model of TB was developed based on the reports from the Korea Disease Control and Prevention Agency and the National Health Insurance Service. Quality-adjusted life-years (QALY) and the averted number of TB-related deaths were estimated along with discounted costs for a measure of incremental cost-effectiveness ratios.

resultsThe number of cumulative active TB cases would decrease by 1564 and 7450 under the scenario of LTBI treatment for those aged <35 years and <70 years, respectively, relative to the no-treatment scenario. The treatment strategies for patients aged 0 to <35 years, <55 years, <65 years, and <70 years would add 397, 1482, 3782, and 8491 QALYs at a cost of $660, $5930, $4560, and $2530, respectively, per QALY. For the averted TB-related deaths, LTBI treatment targeting those aged 0 to <35 years, <55 years, <65 years, and <70 years would avert 7, 89, 155, and 186 deaths at a cost of $35900, $99200, $111100, and $115700 per deaths, respectively, in 20 years.

conclusionThe age-specific expansion policy of LTBI treatment not only for those under 35 years of age but also for those under 65 years of age among household contacts was cost-effective in terms of QALYs and averted TB deaths.

Indexed as

Latent TuberculosisAdultAgedCost-Benefit AnalysisHumansNational Health ProgramsRepublic of KoreaCost-effectiveness analysislatent tuberculosis infectionmathematical modeltuberculosis

Identifiers

PMID37226563
PMCPMC10233000
OpenAlexW4378084145

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.