Cost determinants of tuberculosis management in a low-prevalence country

M. Bocchino, S. Greco, Y. Rosati, G. Mattioli, A. Marruchella, P. De Mori, C. Bibbolino, E. Girardi, S. Squarcione, Cesare Saltini

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

SETTING: Division of respiratory medicine in a specialised infectious disease hospital in Rome, Italy. OBJECTIVE: Retrospective evaluation of tuberculosis (TB) care associated costs in an integrated in- and outpatient management programme. DESIGN: Review of the medical records of 92 human immunodeficiency virus negative TB cases admitted between September 2000 and May 2003. RESULTS: Length of in-hospital stay (45 ± 35 days) was the major cost determinant, as hospitalisation accounted for almost 80% of the total costs of the case, with fixed bed-per-day charges amounting to 76% of hospital costs. Factors associated with higher costs were chest X-ray score, fever, sputum bacterial load and multidrug resistance (P <0.05). Cure/treatment completion was achieved in 82% of patients entering the out-patient programme (63% of all cases). Homelessness, age and comorbidities were associated with unfavourable outcomes. CONCLUSIONS: A closely followed hospital-centred protocol carried out in a high-resource setting may produce acceptable cure/completion treatment rates. As a too high fraction of resources invested in TB control goes toward hospital costs, out-patient treatment strategies should be implemented.

Original languageEnglish
Pages (from-to)146-152
Number of pages7
JournalInternational Journal of Tuberculosis and Lung Disease
Volume10
Issue number2
Publication statusPublished - Feb 2006

Fingerprint

Tuberculosis
Costs and Cost Analysis
Outpatients
Hospital Costs
Homeless Persons
Pulmonary Medicine
Bacterial Load
Multiple Drug Resistance
Sputum
Italy
Medical Records
Communicable Diseases
Comorbidity
Inpatients
Length of Stay
Hospitalization
Fever
Thorax
Therapeutics
X-Rays

Keywords

  • Case outcome
  • Costs
  • Hospital care
  • Tuberculosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Bocchino, M., Greco, S., Rosati, Y., Mattioli, G., Marruchella, A., De Mori, P., ... Saltini, C. (2006). Cost determinants of tuberculosis management in a low-prevalence country. International Journal of Tuberculosis and Lung Disease, 10(2), 146-152.

Cost determinants of tuberculosis management in a low-prevalence country. / Bocchino, M.; Greco, S.; Rosati, Y.; Mattioli, G.; Marruchella, A.; De Mori, P.; Bibbolino, C.; Girardi, E.; Squarcione, S.; Saltini, Cesare.

In: International Journal of Tuberculosis and Lung Disease, Vol. 10, No. 2, 02.2006, p. 146-152.

Research output: Contribution to journalArticle

Bocchino, M, Greco, S, Rosati, Y, Mattioli, G, Marruchella, A, De Mori, P, Bibbolino, C, Girardi, E, Squarcione, S & Saltini, C 2006, 'Cost determinants of tuberculosis management in a low-prevalence country', International Journal of Tuberculosis and Lung Disease, vol. 10, no. 2, pp. 146-152.
Bocchino M, Greco S, Rosati Y, Mattioli G, Marruchella A, De Mori P et al. Cost determinants of tuberculosis management in a low-prevalence country. International Journal of Tuberculosis and Lung Disease. 2006 Feb;10(2):146-152.
Bocchino, M. ; Greco, S. ; Rosati, Y. ; Mattioli, G. ; Marruchella, A. ; De Mori, P. ; Bibbolino, C. ; Girardi, E. ; Squarcione, S. ; Saltini, Cesare. / Cost determinants of tuberculosis management in a low-prevalence country. In: International Journal of Tuberculosis and Lung Disease. 2006 ; Vol. 10, No. 2. pp. 146-152.
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