Screening for Chlamydia trachomatis in adolescent males: A cost-based decision analysis

A.G. Randolph and A.E. Washington

American Journal of Public Health, 1990, vol. 80, issue 5, 545-550

Abstract: To evaluate the cost and benefits of screening tests for Chlamydia trachomatis in adolescent males, we developed a decision analysis model and compared the leukocyte esterase urine dipstick test with culture, with direct-smear fluorescent antibody (DFA), and with the option of no screening (no treatment). The leukocyte esterase test has the lowest average cost-per-cure ($51) compared with direct-smear fluorescent antibody ($192) and culture ($414). Compared with the DFA, we estimate that the leukocyte esterase test saves over $9,727 per cohort of 1,000 sexually active adolescent males screened. Sensitivity analyses show the leukocyte esterase test results in a lower cost-per-cure and lower overall costs (per cohort) than culture and direct-smear fluorescent antibody at any prevalence of C. trachomatis infection, and lower overall costs (per cohort) than no screening at prevalences above 21 percent.

Date: 1990
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1990:80:5:545-550_4

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