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Table 2 Potential savings: episode and total costs by type of treatment in the last two months for different utilisation assumptions, USD 2013

From: Shortened first-line TB treatment in Brazil: potential cost savings for patients and health services

  Top-down; mean (range) Bottom-up; mean (range)
EPISODE COSTS
Facility-DOT   
 45 % continuation phase 283.7 (108.5–410.5) 160.6 (82.7–373.3)
 Patient utilisation 286.9 (109.6–415.2) 162.3 (83.5–377.6)
SAT  
 45 % continuation phase 115.1 (38.9–470.8) 61.6 (20.8–168.5)
 Patient utilisation 127.7 (42.6–525.0) 68.0 (22.4–187.6)
Community-DOT  
 45 % continuation phase 441.5 (397.6–485.6) 169.8 (162.8–176.8)
 Patient utilisation 463.8 (417.6–510.1) 178.1 (170.8–185.6)
Average total costs by treatment type
Facility-DOT  
 45 % continuation phase 16,834 (2,824–24,631) 10,083 (848–18,260)
 Patient utilisation 17,024 (2,855–24,911) 10,194 (857–18,467)
SAT  
 45 % continuation phase 2,021 (65.6–4,701) 1,287 (55.4–3,562)
 Patient utilisation 2,227 (72.5–5,157) 1,407 (61.1–3,884)
Community-DOT  
 45 % continuation phase 43,660 (23,308–64,012) 17,351 (8,486–26,216)
 Patient utilisation 45,856 (24,486–67,226) 18,203 (8,907–27,500)
Average total costs per facility
 45 % continuation phase 24,221 (4,010–64,954) 12,824 (1,316–26,551)
 Patient utilisation 25,018 (4,159–68,276) 13,204 (1358–27873)
  1. DOT directly observed therapy; SAT self-administered therapy
  2. Utilisation assumptions: 1) 45 % continuation phase. In this scenario we calculated the costs in the last two months of treatment as a proportion of the continuation phase costs; 2) Patient utilisation. In this alternative scenario, costs in the last two months of treatment are calculated using the reported number of visits by patients interviewed