Check It 项目的成本效益：一种新的基于社区的衣原体筛查和加速治疗方案，用于年轻黑人男性。

Cost-effectiveness of Check It: A Novel Community-Based Chlamydia Screening and Expedited Treatment Program for Young Black Men.

机构信息

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.

出版信息

Clin Infect Dis. 2022 Jul 6;74(12):2166-2172. doi: 10.1093/cid/ciab818.

DOI:10.1093/cid/ciab818

PMID:34864944

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9258938/

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

方法

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。

结果

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。