Table 3– Cost of diagnosis, per 1,000 cases screened, of different strategies involving pre-screening with an alternative diagnostic test prior to Xpert MTB/RIF assay#
Smear microscopy aloneXpert MTB/RIF aloneSmear microscopy followed by:CXR followed by:
Xpert MTB/RIF (if smear negative)CXR (if smear negative), followed by Xpert MTB/RIF (if CXR suggestive of active TB)Xpert MTB/RIF (if CXR suggestive of active TB)Smear microscopy (if CXR suggestive of active TB), followed by Xpert MTB/RIF (if smear negative)
Total test cost $7420.0021389.7524130.7432471.7135746.7436778.00
Incremental cost versus smear microscopy alone $13969.7516710.7425051.7128326.7429358.00
Number of correctly diagnosed non-TB cases683.33658.33654.17648.15651.23648.15
Number of correctly diagnosed TB cases212.50239.58254.17271.60253.09271.60
Additional number of TB cases correctly diagnosed versus smear microscopy alone27.0841.6759.1040.5959.10
Cost per TB case detected (compared to smear microscopy) $515.81401.06423.85697.94496.71
  • CXR: chest radiograph; TB: tuberculosis. #: similar tables stratified by HIV status can be found in the supplementary material (tables S6 and S7).