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Reverse syphilis screening algorithm fails to demonstrate cost effectiveness in persons living with HIV
Ellen F Eaton1, Winston Joe2, Meredith L Kilgore3
11 Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USA.
International Journal of STD & AIDS
|November 28, 2017
Summary
The reverse syphilis screening algorithm may increase costs for individuals with HIV requiring yearly screening. The traditional syphilis screening method is often more cost-effective for healthcare systems.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Health Economics
Background:
- Syphilis screening is crucial for persons living with HIV (PLWHIV) due to increased risk.
- Screening algorithms impact healthcare costs and efficiency.
- The reverse algorithm offers potential efficiency gains but raises cost concerns.
Purpose of the Study:
- To compare the cost-effectiveness of the reverse syphilis screening algorithm versus the traditional algorithm for PLWHIV.
- To evaluate the financial implications for health systems with high-volume HIV screening needs.
Main Methods:
- Comparative cost analysis of two syphilis screening algorithms.
- Modeling healthcare system costs based on screening frequencies for PLWHIV.
Main Results:
- The reverse syphilis screening algorithm may result in higher overall costs for health systems serving PLWHIV.
- The traditional screening algorithm demonstrates cost-saving potential in various scenarios for this population.
Conclusions:
- The choice of syphilis screening algorithm has significant economic implications for healthcare systems.
- Traditional screening may be a more financially sustainable approach for annual syphilis screening in PLWHIV.
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