Abstract
ABSTRACTObjectiveTo investigate the cost-effectiveness of accelerated partner therapy (APT) compared with standard contact tracing for people with sexually transmitted chlamydia infection in the United KingdomDesignEconomic evaluation using a model consisting of two components: a population-based chlamydia transmission component, to estimate the impact of APT on chlamydia prevalence, and an economic component, to estimate the impact of APT on healthcare costs and health outcomes.SettingUnited KingdomParticipantsHypothetical heterosexual population of 50,000 men and 50,000 women aged 16-34 years.Main Outcome MeasuresCost-effectiveness based on quality-adjusted life years (QALYs) gained and major outcomes averted (MOA), defined as mild pelvic inflammatory disease (PID), severe PID, chronic pelvic pain, ectopic pregnancy, tubal factor infertility and epididymitis.ResultsFor a model population of 50,000 men and 50,000 women and an APT intervention lasting 5 years, the intervention cost of APT (£135,201) is greater than the intervention cost of standard contact tracing (£116,334). When the costs of complications arising from chlamydia are considered, the total cost of APT (£370,657) is lower than standard contact tracing (£379,597). Thus, APT yields a total cost saving of approximately £9000 and leads to 73 fewer major outcomes and 21 fewer QALYs lost. Hence, APT is the dominant PN strategy. APT remained cost-effective across the full range of sensitivity analyses.ConclusionsBased on cost-effectiveness grounds APT is likely to be recommended as an alternative to standard contact tracing for chlamydia infection in the United Kingdom
Publisher
Cold Spring Harbor Laboratory
Reference49 articles.
1. Cost effectiveness of home based population screening for
Chlamydia trachomatis
in the UK: economic evaluation of chlamydia screening studies (ClaSS) project
2. Health Protection Scotland. Surveillance report genital Chlamydia and gonorrhoea infection in Scotland: laboratory diagnoses 2009-2018, 2019.
3. Public Health Wales. HIV and STI trends in Wales - Surveillance Report [Internet], 2018.
4. Public Health England. Table 1: STI diagnoses and rates in England by gender, 2009 to 2018. London, 2018.
5. Holmes KK SS , Stamm WE , Piot P , Wasserheit JN , Corey L , et al., editors. Sexually Transmitted Diseases. 4th ed. New York,London: McGraw-Hill Medical 2008.