Evidence map›Paper›PMID 39035434›Full record

ArticleIJTLD open2024

Savings from the introduction of BPaL and BPaLM regimens at the country level.

C Auer, A Gupta, C Malbacius, A Ghafoor, Y Kock, O Medvedieva, P Hanlon, P Steinmann, S Juneja

Abstract read
In one paragraph

Article in IJTLD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Effectiveness and safety of the BPaL regimen in the Philippines.Journal of clinical tuberculosis and other mycobacterial diseases · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Review
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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.

C AuerSwiss Tropical and Public Health Institute, Allschwil, Switzerland.
A GuptaTB Alliance, New York, NY, USA.
C MalbaciusDisease Prevention and Control Bureau, Department of Health, Manila, The Philippines.
A GhafoorNational Tuberculosis Program, Islamabad, Pakistan.
Y KockNational Department of Health, Pretoria, South Africa.
O MedvedievaPublic Health Center, Ministry of Health, Kyiv, Ukraine.
P HanlonSwiss Tropical and Public Health Institute, Allschwil, Switzerland.
P SteinmannSwiss Tropical and Public Health Institute, Allschwil, Switzerland.
S JunejaTB Alliance, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2022, the WHO recommended the 6-month regimens BPaL (bedaquiline + pretomanid + linezolid) and BPaLM (BPaL + moxifloxacin) as treatment options for most forms of drug-resistant TB. SLASH-TB estimates the cost-saving and cost-effectiveness for the healthcare system and patients when a country switches from current standard-of-care treatment regimens to BPaL/BPaLM. METHODOLOGY: Country data from national TB programmes (NTP) are used to calculate the costs for all regimens and treatment outcomes. Where BPaL/BPaLM is not currently used, clinical trial outcomes data are used to estimate cost-effectiveness. DALYs are calculated using the Global Burden of Disease (GBD) database.

resultsWe present the results of four countries that have used the tool and shared their data. When shorter and longer regimens are replaced with BPaL/BPaLM, the savings per patient treated in Pakistan, the Philippines, South Africa, and Ukraine are $746, $478, $757, and $2,636, respectively. An increased number of patients would be successfully treated with BPaL/BPaLM regimens, with 411, 1,025, 1,371 and 829 lives saved and 20,179, 27,443, 33,384 and 21,924 DALYs averted annually in the four countries, respectively.

conclusionThrough BPaL/BPaLM regimens, drug-resistant TB treatment has become more effective, shorter, less burdensome for patients, cheaper for both health systems and patients, and saves more lives.

Indexed as

bedaquilinecost analysiscost savingsdrug-resistant TB treatmenteconomic evaluationpretomanidsix-month regimens

Identifiers

PMID39035434
PMCPMC11257096

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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.