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  1. Screening for Chlamydia trachomatis in asymptomatic women attending family planning clinics : A cost-effectiveness analysis of three strategies.

    Article - En anglais

    Background 

    Screening women for Chlamydia trachomatis in family planning clinics is associated with a reduced incidence of chlamydial sequelae.

    However, the question of whom to screen to maintain efficient use of resources remains controversial.

    Objective 

    To assess the cost-effectiveness of chlamydial screening done according to three sets of criteria in asymptomatic women attending family planning clinics.

    Design 

    Cost-effectiveness analysis done by using a decision model with the perspective of a health care system.

    Model estimates were based on analysis of cohort data, clinic costs, laboratory costs, and published data.

    Setting 

    Two family planning clinics in Baltimore, Maryland.

    Patients 

    7699 asymptomatic women who presented between April 1994 and August 1996.

    Intervention 

    Three screening strategies-screening according to the criteria of the Centers for Disease Control and Prevention (CDC), screening all women younger than 30 years of age, and universal screening-were retrospectively applied and compared.

    All women were tested with polymerase chain reaction.

    Measurements 

    Medical outcomes included sequelae prevented in women, men, and infants.

    Total costs included screening program costs and future medical costs of all sequelae.

    The incremental cost-effectiveness ratios of each strategy were calculated.

    Results 

    Without screening, 152 cases of pelvic inflammatory disease would occur at a cost of $676 000. (...)

    Mots-clés Pascal : Chlamydia trachomatis, Chlamydiaceae, Chlamydiales, Bactérie, Dépistage, Planning familial, Arbre décision, Coût, Evaluation, Femelle, Homme, Etude cohorte, Bactériose, Infection

    Mots-clés Pascal anglais : Chlamydia trachomatis, Chlamydiaceae, Chlamydiales, Bacteria, Medical screening, Family planning, Decision tree, Costs, Evaluation, Female, Human, Cohort study, Bacteriosis, Infection

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0135492

    Code Inist : 002B05B02P. Création : 21/07/1998.