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Which new diagnostics for tuberculosis, and when?

Cobelens, Frank, van den Hof, Susan, Pai, Madhuker, Squire, Bertie ORCID:, Ramsay, Andrew and Kimberling, Michael E. (2012) 'Which new diagnostics for tuberculosis, and when?'. Journal of Infectious Disease, Vol 205, Issue Supp 2, S191-S198.

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Recently, new diagnostic tools for tuberculosis detection and resistance testing have become available. The World Health Organization endorses new tuberculosis diagnostics by using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process. This endorsement process takes place when limited evidence beyond test accuracy is available. There is a need to provide guidance to tuberculosis programs about which new diagnostics to scale up and how best to position them in diagnostic algorithms. To speed adoption of new diagnostics for tuberculosis, the policy recommendation process should be revised to consist of 2 steps: technical recommendation and programmatic recommendation. Technical recommendation would follow the GRADE process and be based on accuracy with limited cost and feasibility data, while programmatic recommendation would include patient-important outcomes, cost-effectiveness when implemented under routine conditions, and factors critical to successful scale-up. The evidence for both steps should be systematically collected, but each requires different study designs.

PMID: 22476716 [PubMed - indexed for MEDLINE]

Item Type: Article
Subjects: WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WF Respiratory System > Tuberculosis > WF 220 Diagnosis. Prognosis
Faculty: Department: Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI):
Related URLs:
Depositing User: Helen Rigby
Date Deposited: 23 Jul 2012 15:07
Last Modified: 13 Nov 2019 11:21


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