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- W2165992063 abstract "<h3>Objective</h3> The objective of this study was to estimate the cost and cost-effectiveness of opportunistic screening for <i>Chlamydia trachomatis</i> in Ireland. <h3>Methods</h3> Prospective cost analysis of an opportunistic screening programme delivered jointly in three types of healthcare facility in Ireland. Incremental cost-effectiveness analysis was performed using an existing dynamic modelling framework to compare screening to a control of no organised screening. A healthcare provider perspective was adopted with respect to costs and included the costs of screening and the costs of complications arising from untreated infection. Two outcome measures were examined: major outcomes averted, comprising cases of pelvic inflammatory disease, ectopic pregnancy and tubal factor infertility in women, neonatal conjunctivitis and pneumonia, and epididymitis in men; and quality-adjusted life-years (QALY) gained. Uncertainty was explored using sensitivity analyses and cost-effectiveness acceptability curves. <h3>Results</h3> The average cost per component of screening was estimated at €26 per offer, €66 per negative case, €152 per positive case and €74 per partner notified and treated. The modelled screening scenario was projected to be more effective and more costly than the control strategy. The incremental cost per major outcomes averted was €6093, and the incremental cost per QALY gained was €94 717. For cost-effectiveness threshold values of €45 000 per QALY gained and lower, the probability of the screening being cost effective was estimated at <1%. <h3>Conclusions</h3> An opportunistic chlamydia screening programme, as modelled in this study, would be expensive to implement nationally and is unlikely to be judged cost effective by policy makers in Ireland." @default.
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- W2165992063 date "2012-01-02" @default.
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- W2165992063 title "The cost and cost-effectiveness of opportunistic screening for<i>Chlamydia trachomatis</i>in Ireland" @default.
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- W2165992063 doi "https://doi.org/10.1136/sextrans-2011-050067" @default.
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