Patient costs for the diagnosis of tuberculosis in Brazil: comparison of XpertW MTB/RIF and smear microscopy

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dc.contributor.authorAntunes, R. da Silva
dc.contributor.authorPinto, M
dc.contributor.authorTrajma, A.
dc.date.accessioned2024-10-11T16:54:01Z
dc.date.available2024-10-11T16:54:01Z
dc.date.issued2014
dc.description.abstractSETTING: Manaus and Rio de Janeiro, two Brazilian state capitals with the country’s fifth and sixth highest tuberculosis (TB) incidence rates (around 90/100 000 population in 2012). OBJECTIVE: To compare the costs of the Xpertw MTB/ RIF assay with those of standard care (two smears) in diagnosing TB from the patient’s perspective. METHOD: We interviewed 218 patients diagnosed with TB in the previous 4 months by Xpert or smear microscopy. Information on non-medical direct costs for transportation and food, indirect costs such as time spent for diagnostic visits and socio-demographic data were gathered. RESULTS: The median patient income was US$390.24. Median total costs incurred by patients were 54% higher with the smear process than with Xpert (US$25.24 vs. US$16.44, P , 0.000) due to higher indirect and direct costs. Male patients incurred higher indirect costs (U$10.27 vs. US$7.51, P 1⁄4 0.038), and patients in Manaus incurred higher total costs. CONCLUSIONS: Although the diagnosis and treatment of TB in Brazil are free of charge, non-medical direct and indirect costs for patients may represent important barriers to accessing appropriate care. Compared to standard care, Xpert reduced the financial burden for patients. These findings support the decision to scale-up Xpert technology in the country.
dc.identifier.citationAntunes RS, Pinto M, Trajman A. Patient costs for the diagnosis of tuberculosis in Brazil: comparison of Xpert MTB/RIF and smear microscopy. Int J Tuberc Lung Dis. 2014 May;18(5):547-51. doi: 10.5588/ijtld.13.0637
dc.identifier.otherDOI: 10.5588/ijtld.13.0637
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/489
dc.language.isoen
dc.publisherThe International Journal of Tuberculosis and Lung Disease
dc.subjectcostsen
dc.subjectdiagnosisen
dc.subjectreal-time polymerase chain reactionen
dc.subjectsputum smearen
dc.subjecttuberculosisen
dc.titlePatient costs for the diagnosis of tuberculosis in Brazil: comparison of XpertW MTB/RIF and smear microscopy
dc.typeArticle
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