Feasibility and Cost-Effectiveness of Treating Multidrug-Resistant Tuberculosis: A Cohort Study in the Philippines
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{"title"=>"Feasibility and cost-effectiveness of treating multidrug-resistant tuberculosis: A cohort study in the Philippines", "type"=>"journal", "authors"=>[{"first_name"=>"Thelma E.", "last_name"=>"Tupasi", "scopus_author_id"=>"7004272808"}, {"first_name"=>"Rajesh", "last_name"=>"Gupta", "scopus_author_id"=>"56625385600"}, {"first_name"=>"Ma Imelda D.", "last_name"=>"Quelapio", "scopus_author_id"=>"6507339785"}, {"first_name"=>"Ruth B.", "last_name"=>"Orillaza", "scopus_author_id"=>"6507990619"}, {"first_name"=>"Nona Rachel", "last_name"=>"Mira", "scopus_author_id"=>"7801571037"}, {"first_name"=>"Nellie V.", "last_name"=>"Mangubat", "scopus_author_id"=>"6506352971"}, {"first_name"=>"Virgil", "last_name"=>"Belen", "scopus_author_id"=>"14630150000"}, {"first_name"=>"Nida", "last_name"=>"Arnisto", "scopus_author_id"=>"14630060500"}, {"first_name"=>"Lualhati", "last_name"=>"Macalintal", "scopus_author_id"=>"14630629600"}, {"first_name"=>"Michael", "last_name"=>"Arabit", "scopus_author_id"=>"14629901400"}, {"first_name"=>"Jaime Y.", "last_name"=>"Lagahid", "scopus_author_id"=>"14068715500"}, {"first_name"=>"Marcos", "last_name"=>"Espinal", "scopus_author_id"=>"7005760470"}, {"first_name"=>"Katherine", "last_name"=>"Floyd", "scopus_author_id"=>"7007133597"}], "year"=>2006, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "scopus"=>"2-s2.0-33749013310", "sgr"=>"33749013310", "pui"=>"44455269", "isbn"=>"1549-1676 (Electronic)", "pmid"=>"16968123", "doi"=>"10.1371/journal.pmed.0030352"}, "id"=>"334a649c-e31c-3aa3-9fb2-5aa5966378d9", "abstract"=>"BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) is an important global health problem, and a control strategy known as DOTS-Plus has existed since 1999. However, evidence regarding the feasibility, effectiveness, cost, and cost-effectiveness of DOTS-Plus is still limited.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: We evaluated the feasibility, effectiveness, cost, and cost-effectiveness of a DOTS-Plus pilot project established at Makati Medical Center in Manila, the Philippines, in 1999. Patients with MDR-TB are treated with regimens, including first- and second-line drugs, tailored to their drug susceptibility pattern (i.e., individualised treatment). We considered the cohort enrolled between April 1999 and March 2002. During this three-year period, 118 patients were enrolled in the project; 117 were considered in the analysis. Seventy-one patients (61%) were cured, 12 (10%) failed treatment, 18 (15%) died, and 16 (14%) defaulted. The average cost per patient treated was US3,355 dollars from the perspective of the health system, of which US1,557 dollars was for drugs, and US837 dollars from the perspective of patients. The mean cost per disability-adjusted life year (DALY) gained by the DOTS-Plus project was US242 dollars (range US85 dollars to US426 dollars).\\n\\nCONCLUSIONS: Treatment of patients with MDR-TB using the DOTS-Plus strategy and individualised drug regimens can be feasible, comparatively effective, and cost-effective in low- and middle-income countries.", "link"=>"http://www.mendeley.com/research/feasibility-costeffectiveness-treating-multidrugresistant-tuberculosis-cohort-study-philippines", "reader_count"=>125, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>9, "Researcher"=>23, "Student > Doctoral Student"=>5, "Student > Ph. D. 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Student"=>17, "Student > Postgraduate"=>9, "Student > Master"=>36, "Other"=>9, "Student > Bachelor"=>9, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>11, "Agricultural and Biological Sciences"=>10, "Arts and Humanities"=>1, "Business, Management and Accounting"=>6, "Chemical Engineering"=>1, "Computer Science"=>1, "Economics, Econometrics and Finance"=>3, "Engineering"=>1, "Environmental Science"=>2, "Nursing and Health Professions"=>5, "Biochemistry, Genetics and Molecular Biology"=>9, "Mathematics"=>1, "Medicine and Dentistry"=>60, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Psychology"=>1, "Social Sciences"=>7, "Immunology and Microbiology"=>3, "Linguistics"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>60}, "Social Sciences"=>{"Social Sciences"=>7}, "Psychology"=>{"Psychology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>11}, "Environmental Science"=>{"Environmental Science"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}, "Chemical Engineering"=>{"Chemical Engineering"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Engineering"=>{"Engineering"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>3}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>10}, "Computer Science"=>{"Computer Science"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>6}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Linguistics"=>{"Linguistics"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>9}}, "reader_count_by_country"=>{"Canada"=>3, "Argentina"=>1, "United States"=>2, "Philippines"=>1, "Japan"=>1, "Brazil"=>1, "South Africa"=>1, "Malaysia"=>1, "Switzerland"=>1}, "group_count"=>6}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/956696"], "description"=>"<p>Patient Enrollment in DOTS-Plus Project, 1 April 1999 to 31 March 2002</p>", "links"=>[], "tags"=>["enrollment", "dots-plus", "april", "1999", "31"], "article_id"=>626958, "categories"=>["Medicine", "Science Policy", "Microbiology", "Infectious Diseases", "Biotechnology"], "users"=>["Thelma E Tupasi", "Rajesh Gupta", "Ma Imelda D Quelapio", "Ruth B Orillaza", "Nona Rachel Mira", "Nellie V Mangubat", "Virgil Belen", "Nida Arnisto", "Lualhati Macalintal", "Michael Arabit", "Jaime Y Lagahid", "Marcos Espinal", "Katherine Floyd"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0030352.g001", "stats"=>{"downloads"=>2, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Patient_Enrollment_in_DOTS_Plus_Project_1_April_1999_to_31_March_2002_/626958", "title"=>"Patient Enrollment in DOTS-Plus Project, 1 April 1999 to 31 March 2002", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 13:16:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/471507", "https://ndownloader.figshare.com/files/471600"], "description"=>"<div><h3>Background</h3><p>Multidrug-resistant tuberculosis (MDR-TB) is an important global health problem, and a control strategy known as DOTS-Plus has existed since 1999. However, evidence regarding the feasibility, effectiveness, cost, and cost-effectiveness of DOTS-Plus is still limited.</p> <h3>Methodology/Principal Findings</h3><p>We evaluated the feasibility, effectiveness, cost, and cost-effectiveness of a DOTS-Plus pilot project established at Makati Medical Center in Manila, the Philippines, in 1999. Patients with MDR-TB are treated with regimens, including first- and second-line drugs, tailored to their drug susceptibility pattern (i.e., individualised treatment). We considered the cohort enrolled between April 1999 and March 2002. During this three-year period, 118 patients were enrolled in the project; 117 were considered in the analysis. Seventy-one patients (61%) were cured, 12 (10%) failed treatment, 18 (15%) died, and 16 (14%) defaulted. The average cost per patient treated was US$3,355 from the perspective of the health system, of which US$1,557 was for drugs, and US$837 from the perspective of patients. The mean cost per disability-adjusted life year (DALY) gained by the DOTS-Plus project was US$242 (range US$85 to US$426).</p> <h3>Conclusions</h3><p>Treatment of patients with MDR-TB using the DOTS-Plus strategy and individualised drug regimens can be feasible, comparatively effective, and cost-effective in low- and middle-income countries.</p> </div>", "links"=>[], "tags"=>["feasibility", "cost-effectiveness", "treating", "multidrug-resistant", "cohort", "philippines"], "article_id"=>152966, "categories"=>["Medicine", "Cancer", "Science Policy", "Microbiology", "Biotechnology"], "users"=>["Thelma E Tupasi", "Rajesh Gupta", "Ma Imelda D Quelapio", "Ruth B Orillaza", "Nona Rachel Mira", "Nellie V Mangubat", "Virgil Belen", "Nida Arnisto", "Lualhati Macalintal", "Michael Arabit", "Jaime Y Lagahid", "Marcos Espinal", "Katherine Floyd"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.0030352.sd001", "https://dx.doi.org/10.1371/journal.pmed.0030352.sd002"], "stats"=>{"downloads"=>2, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Feasibility_and_Cost_Effectiveness_of_Treating_Multidrug_Resistant_Tuberculosis_A_Cohort_Study_in_the_Philippines/152966", "title"=>"Feasibility and Cost-Effectiveness of Treating Multidrug-Resistant Tuberculosis: A Cohort Study in the Philippines", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2006-09-12 00:49:26"}

PMC Usage Stats | Further Information

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Relative Metric

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