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  Vol. 169 No. 14, July 27, 2009 TABLE OF CONTENTS
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COMMENTS AND OPINIONS
Cost-effectiveness of Tuberculosis Screening in Health Care Workers Is Not Robust—Reply

Marie A. de Perio, MD; Joel Tsevat, MD, MPH; Gary A. Roselle, MD; Stephen M. Kralovic, MD, MPH; Mark H. Eckman, MD, MS

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In reply

We appreciate the opportunity to respond to the thoughtful comments of Mancuso and colleagues concerning new data on the test characteristics of interferon gamma release assays (IGRAs) published after our cost-effectiveness analysis article1 was accepted for publication. Mancuso and colleagues express concern that the latest meta-analysis by Pai and colleagues2 reported a pooled sensitivity of 77% for the TST vs our pooled value of 67%; 78% for the QuantiFERON-TB Gold (QFT-G) (Cellestis Limited) vs our value of 83%; and 70% for the QFT-GIT vs our value of 76%.1-2

Our decision model stratified health care workers undergoing IGRA testing into those with vs without indeterminate results.1 Therefore, the proportion of true-positive and true-negative results among those with definitive results is somewhat different from overall sensitivity and . . . [Full Text of this Article]


AUTHOR INFORMATION


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RELATED ARTICLE

Cost-effectiveness of Interferon Gamma Release Assays vs Tuberculin Skin Tests in Health Care Workers
Marie A. de Perio, Joel Tsevat, Gary A. Roselle, Stephen M. Kralovic, and Mark H. Eckman
Arch Intern Med. 2009;169(2):179-187.
ABSTRACT | FULL TEXT  

RELATED LETTER

Cost-effectiveness of Tuberculosis Screening in Health Care Workers Is Not Robust
James Mancuso, David Niebuhr, Margot R. Krauss, Clifton Dabbs, and Katherine Anderson
Arch Intern Med. 2009;169(14):1336.
EXTRACT | FULL TEXT  






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