Evaluation of Chlamydia trachomatis screening from the perspective of health economics: a systematic review

被引:3
|
作者
Yao, Huan [1 ]
Li, Cuizhi [1 ]
Tian, Fenglin [1 ]
Liu, Xiaohan [1 ]
Yang, Shangfeng [1 ]
Xiao, Qin [1 ]
Jin, Yuqing [1 ]
Huang, Shujie [2 ]
Zhao, Peizhen [2 ]
Ma, Wenjun [1 ]
Liu, Tao [1 ]
Dong, Xiaomei [1 ]
Wang, Cheng [2 ]
机构
[1] Jinan Univ, Sch Med, Dept Publ Hlth & Prevent Med, Guangzhou, Peoples R China
[2] Southern Med Univ, Dermatol Hosp, Guangzhou, Peoples R China
关键词
Chlamydia trachomatis; mass screening; cost-effectiveness analysis; cost-benefit analysis; cost-utility analysis; sexually active people; pregnant women; COST-EFFECTIVENESS ANALYSIS; SEXUALLY-TRANSMITTED INFECTIONS; UNITED-STATES; POPULATION; WOMEN; PREVALENCE; PROGRAM; DISEASE; URINE; GONORRHEA;
D O I
10.3389/fpubh.2023.1212890
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Most Chlamydia trachomatis (CT) infections are asymptomatic. The infection can persist and lead to severe sequelae. Therefore, screening for CT can primarily prevent serious sequelae. Aim: To systematically evaluate CT screening from the perspective of health economics, summarize previous findings from different target populations, and make practical recommendations for developing local CT screening strategies. Methods: PubMed, Web of Science, Embase, Cochran Library, and National Health Service Economic Evaluation Database (Ovid) were searched from January 1, 2000, to March 4, 2023. Studies reporting the cost-effectiveness, cost-benefit, or cost-utility of CT screening were eligible to be included. A narrative synthesis was used to analyze and report the results following the PRISMA guidelines. The Consensus on Health Economic Criteria (CHEC) list was used to assess the methodological quality of included studies. Results: Our review finally comprised 39 studies addressing four populations: general sexually active people (n = 25), pregnant women (n = 4), women attending STD and abortion clinics (n = 4), and other high-risk individuals (n = 6). The total number of participants was similar to 7,991,198. The majority of studies assessed the cost-effectiveness or cost-utility of the screening method. The results showed that the following screening strategies may be cost-effective or cost-saving under certain conditions: performing CT screening in young people aged 15-24 in the general population, military recruits, and high school students; incorporating CT screening into routine antenatal care for pregnant women aged 15-30; opportunistic CT screening for women attending STD and abortion clinics; home-obtained sampling for CT screening using urine specimens or vaginal swab; performing CT screening for 14-30-year-old people who enter correctional institutions (i.e., jail, detention) as soon as possible; providing CT screening for female sex workers (FSWs) based on local incidence and prevalence; adding routine CT screening to HIV treatment using rectal samples from men who have sex with men (MSM). Conclusion: We found that CT screening in general sexually active people aged 15-24, military recruits, high school students, pregnant women aged 15-30, women attending STD and abortion clinics, people entering jail, detention, FSWs, and MSM has health economic value. Due to the different prevalence of CT, diversities of economic conditions, and varying screening costs among different populations and different countries, regions, or settings, no uniform and standard screening strategies are currently available. Therefore, each country should consider its local condition and the results of health economic evaluations of CT screening programs in that country to develop appropriate CT screening strategies.
引用
收藏
页数:17
相关论文
共 50 条
  • [21] Chlamydia screening interventions from community pharmacies: a systematic review
    Gudka, Sajni
    Afuwape, Folasade E.
    Wong, Bessie
    Yow, Xuan Li
    Anderson, Claire
    Clifford, Rhonda M.
    SEXUAL HEALTH, 2013, 10 (03) : 229 - 239
  • [22] Screening asymptomatic males for Chlamydia trachomatis in school based health centers
    Joffe, A
    Gaydos, C
    Waterfield, G
    Hauptman, P
    Quinn, T
    PEDIATRIC RESEARCH, 2000, 47 (04) : 6A - 6A
  • [23] Document: Chlamydia trachomatis: fundamentals of the importance of screening in the public health system
    Huneeus-Vergara, Andrea
    Soriano-Brucher, Humberto
    Pommer-Tellez, Ricardo
    Delpiano-Mendez, Luis
    Salas-Pacheco, Francisca
    Cespedes-Pino, Pablo
    Schulin-Zeuthen, Carolina
    REVISTA CHILENA DE INFECTOLOGIA, 2018, 35 (05): : 498 - 500
  • [24] The Cost-Effectiveness of Screening Men for Chlamydia trachomatis: A Review of the Literature
    Gift, Thomas L.
    Blake, Diane R.
    Gaydos, Charlotte A.
    Marrazzo, Jeanne M.
    SEXUALLY TRANSMITTED DISEASES, 2008, 35 (11) : S51 - S60
  • [25] AN ECONOMIC-EVALUATION OF SCREENING FOR CHLAMYDIA-TRACHOMATIS IN ADOLESCENT MALES
    GENC, M
    RUUSUVAARA, L
    MARDH, PA
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 270 (17): : 2057 - 2064
  • [26] About the article on systematic screening for low primary urogenital infections with Chlamydia trachomatis in primary care: a review of the literature
    Darmon, David
    Chatelard, Sophia
    EXERCER-LA REVUE FRANCOPHONE DE MEDECINE GENERALE, 2013, 24 (106): : 92 - 92
  • [27] Comparing cost effectiveness of screening women for Chlamydia trachomatis in systematic and opportunistic approaches
    Postma, MJ
    Welte, R
    van den Hoek, JAR
    Morré, SA
    SEXUALLY TRANSMITTED INFECTIONS, 2002, 78 (01) : 73 - 74
  • [28] Screening for Chlamydia trachomatis infection in semen from subfertile males
    EggertKruse, W
    Rohr, G
    Rusu, R
    Zelt, C
    Weltin, M
    Runnebaum, B
    HUMAN REPRODUCTION, 1997, 12 : O183 - O183
  • [29] Cervical Cancer Induction Enhancement Potential of Chlamydia Trachomatis: A Systematic Review
    Safae Karim
    Tiatou Souho
    Mohamed Benlemlih
    Bahia Bennani
    Current Microbiology, 2018, 75 : 1667 - 1674
  • [30] Cervical Cancer Induction Enhancement Potential of Chlamydia Trachomatis: A Systematic Review
    Karim, Safae
    Souho, Tiatou
    Benlemlih, Mohamed
    Bennani, Bahia
    CURRENT MICROBIOLOGY, 2018, 75 (12) : 1667 - 1674