[Economic evaluation of different strategies for screening for Chagas' disease in Spain]

Imaz Iglesia I, García San Miguel L, Blasco Hernández T, Martín Águeda B, González-Enríquez J, Ayala Morilas LE, García Pérez L, Sarría Santamera A
Record ID 32015000965
Authors' objectives: Although Spain is the European country with the highest Chagas disease burden, the country does not have a national control program of the disease. The purpose of this study is to evaluate the efficiency of several strategies for Chagas disease screening among Latin American residents living in Spain.
Authors' recomendations: We found the «Non-screening» as the most expensive and less effective of the evaluated strategies, from both the societal and the SNHS perspectives. Among the screening evaluated strategies the most efficient was, from both perspectives, to extent the antenatal screening of the Latin American pregnant women and their newborns up to the relatives of the positive women. Several parameters influenced significantly on the sensitivity analyses, particularly the chronic treatment efficacy or the prevalence of Chagas disease. In conclusion, for the general Latin American immigrants living in Spain the most efficient would be to screen the Latin American mothers, their newborns and the close relatives of the mothers with a positive serology. However for higher prevalence immigrant population the most efficient intervention would be to extend the program to the close relatives of the negative mothers.
Project Status: Completed
Year Published: 2015
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Mass Screening
  • Spain
  • Cost-Benefit Analysis
Organisation Name: Agencia de Evaluacion de Tecnologias Sanitarias
Contact Address: Jose Luis de Sancho Martin, Instituto de Salud "Carlos III", Calle Sinesio Delgado 6, Pabellon 4, 28029 Madrid, Spain. Tel: +34 9 1 822 2005; Fax: +34 9 1 387 7841;
Contact Name: jsancho@isciii.es
Contact Email: jsancho@isciii.es
Copyright: Agencia de Evaluacion de Tecnologias Sanitarias (AETS)
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