Cost effectiveness of OptiMal® rapid diagnostic test for Malaria in remote areas of the Amazon Region, Brazil

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dc.creatorOliveira, Maria Regina Fernandes de
dc.creatorGomes, Almério de Castro
dc.creatorToscano, Cristiana Maria
dc.date.accessioned2019-01-15T14:02:18Z
dc.date.available2019-01-15T14:02:18Z
dc.date.issued2010
dc.description.abstractBackground: In areas with limited structure in place for microscopy diagnosis, rapid diagnostic tests (RDT) have been demonstrated to be effective. Method: The cost-effectiveness of the Optimal® and thick smear microscopy was estimated and compared. Data were collected on remote areas of 12 municipalities in the Brazilian Amazon. Data sources included the National Malaria Control Programme of the Ministry of Health, the National Healthcare System reimbursement table, hospitalization records, primary data collected from the municipalities, and scientific literature. The perspective was that of the Brazilian public health system, the analytical horizon was from the start of fever until the diagnostic results provided to patient and the temporal reference was that of year 2006. The results were expressed in costs per adequately diagnosed cases in 2006 U.S. dollars. Sensitivity analysis was performed considering key model parameters. Results: In the case base scenario, considering 92% and 95% sensitivity for thick smear microscopy to Plasmodium falciparum and Plasmodium vivax, respectively, and 100% specificity for both species, thick smear microscopy is more costly and more effective, with an incremental cost estimated at US$549.9 per adequately diagnosed case. In sensitivity analysis, when sensitivity and specificity of microscopy for P. vivax were 0.90 and 0.98, respectively, and when its sensitivity for P. falciparum was 0.83, the RDT was more cost-effective than microscopy. Conclusion: Microscopy is more cost-effective than OptiMal® in these remote areas if high accuracy of microscopy is maintained in the field. Decision regarding use of rapid tests for diagnosis of malaria in these areas depends on current microscopy accuracy in the field.pt_BR
dc.identifier.citationOLIVEIRA, Maria Regina Fernandes de; GOMES, Almério de Castro; TOSCANO, Cristiana M. Cost effectiveness of OptiMal® rapid diagnostic test for Malaria in remote areas of the Amazon Region, Brazil. Malaria Journal, London, v. 9, n. 277, 2010.pt_BR
dc.identifier.doi10.1186/1475-2875-9-277
dc.identifier.issn1475-2875
dc.identifier.issne- 1475-2875
dc.identifier.urihttp://repositorio.bc.ufg.br/handle/ri/16726
dc.language.isoengpt_BR
dc.publisher.countryGra-bretanhapt_BR
dc.publisher.departmentInstituto de Patologia Tropical e Saúde Pública - IPTSP (RG)pt_BR
dc.rightsAcesso Abertopt_BR
dc.titleCost effectiveness of OptiMal® rapid diagnostic test for Malaria in remote areas of the Amazon Region, Brazilpt_BR
dc.typeArtigopt_BR

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