一项关于对在家中采集的邮政尿液样本进行基于社区的沙眼衣原体聚合酶链反应检测的瑞典成本效益分析。
A Swedish cost-effectiveness analysis of community-based Chlamydia trachomatis PCR testing of postal urine specimens obtained at home.
作者信息
Novak Daniel P, Lindholm Lars, Jonsson Monica, Karlsson Roger B
机构信息
Family Medicine, Department of Public Health and Clinical Medicine, University of Umeå, Sweden.
出版信息
Scand J Public Health. 2004;32(5):324-32. doi: 10.1080/14034940410026282.
AIMS
A study was undertaken to assess the cost-effectiveness of identifying and treating asymptomatic carriers of Chlamydia trachomatis when using community-based testing of urine specimens obtained at home and mailed to a central laboratory.
METHODS
A total of 100 males and 100 females aged 20-24 living in Umeå were randomly sampled from the population registry. A societal cost-effective analysis was carried out, based on screening and medical care costs in Sweden.
RESULTS
With a participation rate of 55% (45% males and 65% females), the female screening became cost-saving as the C. trachomatis prevalence exceeded 5.1%, and the male screening became cost-saving with over 12.3% prevalence.
CONCLUSION
Postal screening for C. trachomatis in an asymptomatic young population can be cost-effective only at prevalences higher than at present.
目的
开展一项研究，以评估在使用基于社区的尿液标本检测（在家采集并邮寄至中央实验室）时，识别和治疗沙眼衣原体无症状携带者的成本效益。
方法
从乌梅奥的人口登记册中随机抽取100名年龄在20 - 24岁的男性和100名女性。基于瑞典的筛查和医疗成本进行了社会成本效益分析。
结果
参与率为55%（男性45%，女性65%），当沙眼衣原体患病率超过5.1%时，女性筛查开始节省成本，而男性筛查在患病率超过12.3%时开始节省成本。
结论
对无症状年轻人群进行沙眼衣原体邮政筛查，只有在患病率高于目前水平时才具有成本效益。
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