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首页> 外文期刊>Annals of epidemiology >The societal cost of tuberculosis: Tarrant County, Texas, 2002.
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The societal cost of tuberculosis: Tarrant County, Texas, 2002.

机译：结核病的社会成本：得克萨斯州塔兰特县，2002年。

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PURPOSE: Cost analyses of tuberculosis (TB) in the United States have not included elements that may be prevented if TB were prevented, such as losses associated with TB-related disability, personal and other costs to society. Unmeasured TB costs lead to underestimates of the benefit of prevention and create conditions that could result in a resurgence of TB. We gathered data from Tarrant County, Texas, for 2002, to estimate the societal cost due to TB. METHODS: We estimated societal costs due to the presence or suspicion of TB using known variable and fixed costs incurred to all parties. These include costs for infrastructure; diagnostics and surveillance; inpatient and outpatient treatment of active, suspected, and latent TB infection (LTBI); epidemiologic activities; personal costs borne by patients and by others for lost time, disability, and death; and the cost of secondary transmission. A discount rate of 3% was used. RESULTS: During 2002, 108 TB cases were confirmed in Tarrant County, costing an estimated Dollars 40,574,953. The average societal cost per TB illness was Dollars 376,255. Secondary transmission created 47% and pulmonary impairment after TB created 35.4% of the total societal cost per illness. CONCLUSIONS: Prior estimates have concluded that treatment costs constitute most (86%) TB-related expenditures. From a societal perspective treatment and other direct costs account for little (3.3%) of the full burden. These data predict that preventing infection through earlier TB diagnosis and treatment of LTBI and expanding treatment of LTBI may be the most feasible strategies to reduce the cost of TB.
机译：目的：在美国进行的结核病（TB）成本分析中未包含如果预防结核病就可以预防的因素，例如与结核病相关的残障，个人及其他社会成本。不可估量的结核病费用导致低估了预防的效益，并创造了可能导致结核病死灰复燃的状况。我们从得克萨斯州塔兰特县收集了2002年的数据，以估算结核病造成的社会成本。方法：我们使用已知的各方可变成本和固定成本，估算了由于结核病的存在或怀疑导致的社会成本。其中包括基础设施费用;诊断和监视;活动性，怀疑性和潜伏性结核感染（LTBI）的住院和门诊治疗;流行病学活动;患者和其他人因损失的时间，残疾和死亡而承担的个人费用;以及二次传输的成本。使用了3％的折现率。结果：在2002年期间，塔兰特县确诊了108 TB病例，估计费用为40,574,953美元。每个结核病的平均社会成本为376,255美元。继发性传播造成了47％的疾病，而肺部损害则是由结核病造成的，占每种疾病总社会成本的35.4％。结论：先前的估计得出的结论是治疗费用构成了大部分（86％）与结核病相关的支出。从社会角度看，治疗和其他直接费用只占全部负担的很小一部分（3.3％）。这些数据表明，通过早期的TBBI结核病诊断和治疗预防感染以及扩大LTBI的治疗范围可能是降低结核病成本最可行的策略。

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