Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil

Detalhes bibliográficos
Autor(a) principal: Assis, Talia Santana Machado de
Data de Publicação: 2017
Outros Autores: Silva, André Luís Ferreira de Azeredo da, Oliveira, Diana, Cota, Gláucia Fernandes, Werneck, Guilherme Loureiro, Rabello, Ana Lucia Teles
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/54476
Resumo: CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO
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spelling Assis, Talia Santana Machado deSilva, André Luís Ferreira de Azeredo daOliveira, DianaCota, Gláucia FernandesWerneck, Guilherme LoureiroRabello, Ana Lucia Teles2022-08-05T16:26:55Z2022-08-05T16:26:55Z2017ASSIS, Tália Santana Machado de et al. Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil. Cad. Saúde Pública, v. 33 n. 12, e00142416, 2017. doi.org/10.1590/0102-311X001424160102-311Xhttps://www.arca.fiocruz.br/handle/icict/5447610.1590/0102-311X00142416CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICOCentro Federal de Educação Tecnológica de Minas Gerais. Contagem, MG, Brasil/Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.Instituto para Avaliação de Tecnologias em Saúde. Porto Alegre, RS. Brasil/Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brasil.Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.The aim of the present study was to estimate the financial costs of the incorporation and/or replacement of diagnostic tests for human visceral leishmaniasis (VL) in Brazil. The analysis was conducted from the perspective of the Brazilian Unified National Health System (SUS) over a period of three years. Six diagnostic tests were evaluated: the indirect immunofluorescence antibody test (IFAT), the IT LEISH rapid test, the parasitological examination of bone marrow aspirate, the direct agglutination test (DAT-LPC) standardized in the Clinical Research Laboratory, René Rachou Institute of the Oswaldo Cruz Foundation, the Kalazar Detect rapid test, and polymerase chain reaction (PCR). The assumptions used were the number of suspected cases of VL reported to the Brazilian Ministry of Health in 2014 and the direct cost of diagnostic tests. The costs to diagnose suspected cases of VL over three years using the IFAT and the DAT-LPC were estimated at USD 280,979.91 and USD 121,371.48, respectively. The analysis indicated that compared with the use of the IFAT, the incorporation of the DAT-LPC into the SUS would result in savings of USD 159,608.43. With regard to the budgetary impact of rapid tests, the use of IT LEISH resulted in savings of USD 21.708,72 over three years. Compared with a parasitological examination, diagnosis using PCR resulted in savings of USD 3,125,068.92 over three years. In this study, the replacement of the IFAT with the DAT-LPC proved financially advantageous. In addition, the replacement of the Kalazar Detect rapid test with the IT LEISH in 2015 was economically valuable, and the replacement of parasitological examination with PCR was indicated.engEscola Nacional de Saúde PúblicaBudgetary impact of diagnostic tests for visceral leishmaniasis in BrazilImpacto orçamentário dos testes diagnósticos para leishmaniose visceral no BrasilImpacto presupuestario de las pruebas diagnósticas para la leishmaniosis visceral en Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBudgetary ControlVisceral LeishmaniasisDiagnosisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALbudgetray impact.pdfbudgetray impact.pdfapplication/pdf6589062https://www.arca.fiocruz.br/bitstream/icict/54476/2/budgetray%20impact.pdfc3b2cae71d49f80eb8aa6bcd5be7ab4aMD52LICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/54476/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51icict/544762022-08-05 13:26:55.035oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352022-08-05T16:26:55Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil
dc.title.alternative.pt_BR.fl_str_mv Impacto orçamentário dos testes diagnósticos para leishmaniose visceral no Brasil
Impacto presupuestario de las pruebas diagnósticas para la leishmaniosis visceral en Brasil
title Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil
spellingShingle Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil
Assis, Talia Santana Machado de
Budgetary Control
Visceral Leishmaniasis
Diagnosis
title_short Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil
title_full Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil
title_fullStr Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil
title_full_unstemmed Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil
title_sort Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil
author Assis, Talia Santana Machado de
author_facet Assis, Talia Santana Machado de
Silva, André Luís Ferreira de Azeredo da
Oliveira, Diana
Cota, Gláucia Fernandes
Werneck, Guilherme Loureiro
Rabello, Ana Lucia Teles
author_role author
author2 Silva, André Luís Ferreira de Azeredo da
Oliveira, Diana
Cota, Gláucia Fernandes
Werneck, Guilherme Loureiro
Rabello, Ana Lucia Teles
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Assis, Talia Santana Machado de
Silva, André Luís Ferreira de Azeredo da
Oliveira, Diana
Cota, Gláucia Fernandes
Werneck, Guilherme Loureiro
Rabello, Ana Lucia Teles
dc.subject.en.pt_BR.fl_str_mv Budgetary Control
Visceral Leishmaniasis
Diagnosis
topic Budgetary Control
Visceral Leishmaniasis
Diagnosis
description CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2022-08-05T16:26:55Z
dc.date.available.fl_str_mv 2022-08-05T16:26:55Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv ASSIS, Tália Santana Machado de et al. Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil. Cad. Saúde Pública, v. 33 n. 12, e00142416, 2017. doi.org/10.1590/0102-311X00142416
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/54476
dc.identifier.issn.pt_BR.fl_str_mv 0102-311X
dc.identifier.doi.none.fl_str_mv 10.1590/0102-311X00142416
identifier_str_mv ASSIS, Tália Santana Machado de et al. Budgetary impact of diagnostic tests for visceral leishmaniasis in Brazil. Cad. Saúde Pública, v. 33 n. 12, e00142416, 2017. doi.org/10.1590/0102-311X00142416
0102-311X
10.1590/0102-311X00142416
url https://www.arca.fiocruz.br/handle/icict/54476
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública
publisher.none.fl_str_mv Escola Nacional de Saúde Pública
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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