Turner Hugo C, Bettis Alison A, Dunn Julia C, Whitton Jane M, Hollingsworth T Déirdre, Fleming Fiona M, Anderson Roy M
London Centre for Neglected Tropical Disease Research, London, UK; Department of Infectious Disease Epidemiology, School of Public Health, Faculty of Medicine, St Marys Campus, Imperial College London,Norfolk Place, London W2 1PG, UK; Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Ho Chi Minh City, Vietnam; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
London Centre for Neglected Tropical Disease Research, London, UK; Department of Infectious Disease Epidemiology, School of Public Health, Faculty of Medicine, St Marys Campus, Imperial College London,Norfolk Place, London W2 1PG, UK.
Trends Parasitol. 2017 Jun;33(6):435-443. doi: 10.1016/j.pt.2017.01.007. Epub 2017 Feb 7.
While the need for more sensitive diagnostics for intestinal helminths is well known, the cost of developing and implementing new tests is considered relatively high compared to the Kato-Katz technique. Here, we review the reported costs of performing the Kato-Katz technique. We also outline several economic arguments we believe highlight the need for further investment in alternative diagnostics, and considerations that should be made when comparing their costs. In our opinion, we highlight that, without new diagnostic methods, it will be difficult for policy makers to make the most cost-effective decisions and that the potentially higher unit costs of new methods can be outweighed by the long-term programmatic benefits they have (such as the ability to detect the interruption of transmission).
虽然对肠道蠕虫进行更敏感诊断的需求众所周知，但与加藤-卡茨技术相比，开发和实施新检测方法的成本被认为相对较高。在此，我们回顾了报道的加藤-卡茨技术的实施成本。我们还概述了几个经济观点，我们认为这些观点凸显了对替代诊断方法进行进一步投资的必要性，以及在比较其成本时应考虑的因素。我们强调，在我们看来，如果没有新的诊断方法，政策制定者将难以做出最具成本效益的决策，而且新方法潜在的较高单位成本可能会被它们所带来的长期项目效益（如检测传播中断的能力）所抵消。
