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Table 3 Results of the primary analysis for a simulated cohort of 1000 patients diagnosed with TB

From: The potential of a multiplex high-throughput molecular assay for early detection of first and second line tuberculosis drug resistance mutations to improve infection control and reduce costs: a decision analytical modeling study

 

No. of TB patients in cohort

No. with (pre-)XDR

No. (%) of (pre-) XDR diagnosed earlier c.t. base case

Total No. of IPM among cohort; % Change c.t. base case

No. of PNTPM; % Change c.t. base case

% of all IPM

Total cohort costsa (US$ 2013); % change c.t. base case

Diagnostic costs (US$ 2013); % of total costs

Deaths (n; % Change c.t. base case

Need for re-treatment (n)b

Base case

1000

59

  

1,710

 

66

 

4 %

$3,557,923

0 %

$44,617

1.2 %

39.1

125

High-throughput MRD-assay:

A. following culture

1000

59

45

76 %

1,603

−6 %

76

+15 %

5 %

$2,960,243

−17 %

$39,837

1.3 %

40.1 (+2.5 %)

127 (+1.6 %)

B. Improved analytical sensitivity

1000

59

45

76 %

1,617

−5 %

71

+8 %

4 %

$2,821,923

−21 %

$48,816

1.7 %

40.1 (+2.5 %)

129 (+3.9 %)

C. Improved clinical accuracy

1000

59

57

96 %

1,604

−6 %

50

−24 %

3 %

$2,937,299

−17 %

$39,233

1.3 %

40.1 (+2.5 %)

124 (−0.4 %)

  1. IPM infectious person-months, c.t. compared to, PNTPM potential nosocomial transmission person-months; i.e. IPM in (pre-)XDR patients that may cause nosocomial transmission, MRD molecular resistance detection
  2. aTotal costs combine diagnostic, treatment, hospitalization costs
  3. b% change is the same for deaths and need for retreatment