Abstract

Background

Rapid diagnostic tests (RDT) can effectively manage malaria cases and reduce excess costs brought by misdiagnosis. However, few studies have evaluated the economic value of this technology. The purpose of this study is to systematically review the economic value of RDT in malaria diagnosis.

Main text

A detailed search strategy was developed to identify published economic evaluations that provide evidence regarding the cost-effectiveness of malaria RDT. Electronic databases including MEDLINE, EMBASE, Biosis Previews, Web of Science and Cochrane Library were searched from Jan 2007 to July 2018. Two researchers screened studies independently based on pre-specified inclusion and exclusion criteria. The Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist was applied to evaluate the quality of the studies. Then cost and effectiveness data were extracted and summarized in a narrative way.

Fifteen economic evaluations of RDT compared to other diagnostic methods were identified. The overall quality of studies varied greatly but most of them were scored to be of high or moderate quality. Ten of the fifteen studies reported that RDT was likely to be a cost-effective approach compared to its comparisons, but the results could be influenced by the alternatives, study perspectives, malaria prevalence, and the types of RDT.

Conclusions

Based on available evidence, RDT had the potential to be more cost-effective than either microscopy or presumptive diagnosis. Further research is also required to draw a more robust conclusion.

Details

Title
Cost-effectiveness analysis of malaria rapid diagnostic tests: a systematic review
Author
Xiao-Xiao, Ling; Jia-Jie, Jin; Guo-Ding, Zhu; Wang, Wei-Ming; Yuan-Yuan, Cao; Meng-Meng, Yang; Hua-Yun, Zhou; Cao, Jun; Jia-Yan, Huang
Pages
1-16
Section
Scoping Review
Publication year
2019
Publication date
2019
Publisher
BioMed Central
ISSN
20955162
e-ISSN
20499957
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2340743140
Copyright
© 2019. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.