Department of Health Policy and Management, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
McKesson Corporation, New Orleans, Louisiana, USA.
Clin Infect Dis. 2022 Jul 6;74(12):2166-2172. doi: 10.1093/cid/ciab818.
We assessed the cost-effectiveness of the Check It program, a novel community-based chlamydia screening and expedited partner treatment program for young Black men conducted in New Orleans since 2017.
We implemented a probabilistic cost-effectiveness model using a synthetic cohort of 16 181 men and 13 419 women intended to simulate the size of the Black, sexually active population in New Orleans ages 15-24 years.
The Check It program cost $196 838 (95% confidence interval [CI]: $117 320-$287 555) to implement, saved 10.2 quality-adjusted life-years (QALYs; 95% CI: 7.7-12.7 QALYs), and saved $140 950 (95% CI: -$197 018 to -$105 620) in medical costs per year. The program cost $5468 (95% CI: cost saving, $16 717) per QALY gained. All iterations of the probabilistic model returned cost-effectiveness ratios less than $50 000 per QALY gained.
The Check It program (a bundled seek, test, and treat chlamydia prevention program for young Black men) is cost-effective under base case assumptions. Communities where Chlamydia trachomatis rates have not declined could consider implementing a similar program.
我们评估了 Check It 项目的成本效益，该项目是一个新的基于社区的衣原体筛查和加速性伴侣治疗计划，自 2017 年以来一直在新奥尔良为年轻的黑人男性实施。
我们使用一个由 16181 名男性和 13419 名女性组成的合成队列实施了概率成本效益模型，旨在模拟新奥尔良年龄在 15-24 岁的黑人活跃人口的规模。
实施 Check It 项目的成本为 196838 美元（95%置信区间[CI]：117320-287555 美元），节省了 10.2 个质量调整生命年（QALY；95%CI：7.7-12.7 QALY），并节省了每年 140950 美元（95%CI：-197018 美元至-105620 美元）的医疗费用。该项目每获得一个 QALY 的成本为 5468 美元（95%CI：成本节约，16717 美元）。概率模型的所有迭代都返回了每获得一个 QALY 的成本效益比低于 50000 美元。
根据基本假设，Check It 项目（一个为年轻黑人男性提供的综合寻求、检测和治疗衣原体预防计划）具有成本效益。尚未降低沙眼衣原体发病率的社区可以考虑实施类似的项目。
