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Cost of treatment for multidrug-resistant tuberculosis in South Korea
Cited 27 time in
Web of Science
Cited 28 time in Scopus
- Authors
- Issue Date
- 2006-10-21
- Publisher
- Wiley-Blackwell
- Citation
- Respirology. 2006 Nov;11(6):793-8.
- Keywords
- Adult ; Efficiency, Organizational/economics ; Female ; Health Care Costs/*statistics & numerical data ; Humans ; Korea/epidemiology ; Male ; Middle Aged ; Prevalence ; Time Factors ; Tuberculosis, Multidrug-Resistant/*drug therapy/*economics/epidemiology ; Tuberculosis, Pulmonary/*drug therapy/*economics/epidemiology
- Abstract
- OBJECTIVE AND BACKGROUND: Costs associated with multidrug-resistant tuberculosis (MDR-TB) are higher than those associated with drug-susceptible TB because of the higher prices of second-line anti-TB drugs, the prolonged duration of treatment, greater productivity loss and higher mortality. The aim of this study was to estimate the cost of treatment for MDR-TB according to the treatment strategy and prognosis in South Korea. METHODS: We estimated the direct (medical and non-medical) and indirect cost for the treatment of MDR-TB according to the treatment strategies and prognosis: in medically treated, surgically treated and deceased patients groups. The same analyses were undertaken for drug-susceptible TB for comparison. The patients with MDR-TB or drug-susceptible TB were randomly selected from the TB cohort of Seoul National University Hospital, Seoul, South Korea. RESULTS: Direct costs per person were US$4000 (US$2527-4841) in the medically treated group, US$17,457 (US$10,133-26,418) in the surgically treated group and US$33,362 (US$25 386-40 338) in the deceased group. Total costs per person were US$15,856 (US$10,752-38,421), US$47,159 (US$20,587-77,622) and US$478,357 (US$257,377-777,778), respectively. For the patients with drug-susceptible TB, the total cost ranged from US$1680 to US$7637 (median US$2166). CONCLUSIONS: The cost for the treatment of MDR-TB is seven to 22 times that of managing the drug-susceptible TB in South Korea. Considering the high cost, transmissibility and considerable fatality of MDR-TB, there is a need to provide specific separate funding for multidrug-resistant tuberculosis.
- ISSN
- 1323-7799 (Print)
- Language
- English
- URI
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17052310
https://hdl.handle.net/10371/27661
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