Tuberculosis screening of travelers to higher-incidence countries A cost-effectiveness analysis 英文参考文献.docVIP

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Tuberculosis screening of travelers to higher-incidence countries A cost-effectiveness analysis 英文参考文献.doc

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Tuberculosis screening of travelers to higher-incidence countries A cost-effectiveness analysis 英文参考文献

BMC Public Health BioMedCentral Research article Open Access Tuberculosis screening of travelers to higher-incidence countries: A cost-effectiveness analysis Michael Tan1,2, Dick Menzies1,2,3 and Kevin Schwartzman*1,3 Address: 1Respiratory Epidemiology Unit, Montreal Chest Institute, 3650 St. Urbain St., Montreal, Quebec, H2X 2P4, Canada, 2Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada and 3Respiratory Division, McGill University, Montreal, Quebec, Canada Email: Michael Tan - michael_tan325@; Dick Menzies - dick.menzies@mcgill.ca; Kevin Schwartzman* - kevin.schwartzman@mcgill.ca * Corresponding author Published: 5 June 2008 Received: 31 January 2008 Accepted: 5 June 2008 BMC Public Health 2008, 8:201 doi:10.1186/1471-2458-8-201 This article is available from: /1471-2458/8/201 ? 2008 Tan et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: Travelers to countries with high tuberculosis incidence can acquire infection during travel. We sought to compare four screening interventions for travelers from low-incidence countries, who visit countries with varying tuberculosis incidence. Methods: Decision analysis model: We considered hypothetical cohorts of 1,000 travelers, 21 years old, visiting Mexico, the Dominican Republic, or Haiti for three months. Travelers departed from and returned to the United States or Canada; they were born in the United States, Canada, or the destination countries. The time horizon was 20 years, with 3% annual discounting of future costs and outcomes. The analysis was conducted from the health care system perspective. Screening involved tuberculin skin testing (post-travel in three strategies, wi