Access the full text.
Sign up today, get DeepDyve free for 14 days.
A. Barratt, L. Irwig, P. Glasziou, R. Cumming, A. Raffle, N. Hicks, James Gray, G. Guyatt (1999)
Users' guides to the medical literature: XVII. How to use guidelines and recommendations about screening. Evidence-Based Medicine Working Group.JAMA, 281 21
Bowden FJ
MJA practice essentials: sexually transmitted infections: new diagnostic approaches and treatments.
Marcus Chen, B. Donovan (2004)
Genital Chlamydia trachomatis infection in Australia: epidemiology and clinical implications.Sexual health, 1 4
M. Chen, C. Fairley, B. Donovan (2005)
Discordance between trends in chlamydia notifications and hospital admission rates for chlamydia related diseases in New South Wales, AustraliaSexually Transmitted Infections, 81
S. Safrin, J. Schachter, D. Dahrouge, R. Sweet (1992)
Long-term sequelae of acute pelvic inflammatory disease. A retrospective cohort study.American journal of obstetrics and gynecology, 166 4
M. Golden, J. Schillinger, L. Markowitz, M. Louis (2000)
Duration of Untreated Genital Infections With Chlamydia trachomatis: A Review of the LiteratureSexually Transmitted Diseases, 27
Susan Hillis, Allyn Nakashima, Lori Amsterdam, John Pfister, Mike Vaughn, David Addiss, Polly Marchbanks, Laura Owens, Jeffrey Davis (1995)
The impact of a comprehensive chlamydia prevention program in Wisconsin.Family planning perspectives, 27 3
B. Herrmann, Agneta Johansson, P. Mårdh (1991)
A Retrospective Study of Efforts to Diagnose Infections by Chlamydia trachomatis in a Swedish CountySexually Transmitted Diseases, 18
R. Ness, D. Soper, R. Holley, J. Peipert, H. Randall, R. Sweet, S. Sondheimer, S. Hendrix, A. Amortegui, G. Trucco, T. Songer, J. Lave, S. Hillier, D. Bass, S. Kelsey (2002)
Effectiveness of inpatient and outpatient treatment strategies for women with pelvic inflammatory disease: results from the Pelvic Inflammatory Disease Evaluation and Clinical Health (PEACH) Randomized Trial.American journal of obstetrics and gynecology, 186 5
M. Genc, P. Mårdh (1996)
A Cost-effectiveness Analysis of Screening and Treatment for Chlamydia trachomatis Infection in Asymptomatic WomenAnnals of Internal Medicine, 124
H. Nelson, M. Helfand (2001)
Screening for chlamydial infection.American journal of preventive medicine, 20 3 Suppl
L. Weström, R. Joesoef, Gladys Reynolds, Alula Hagdu, S. Thompson (1992)
Pelvic Inflammatory Disease and Fertility: A Cohort Study of 1,844 Women with Laparoscopically Verified Disease and 657 Control Women with Normal Laparoscopic ResultsSexually Transmitted Diseases, 19
B. Ward, A. Rodger, T. Jackson (2006)
Modelling the impact of opportunistic screening on the sequelae and public healthcare costs of infection with Chlamydia trachomatis in Australian women.Public health, 120 1
A. Barratt, P. Glasziou, R. Cumming, A. Raffle, N. Hicks, G. Guyatt (2008)
How to use Guidelines and Recommendations about Screening
E. Honey, C. Augood, A. Templeton, I. Russell, J. Paavonen, P. Mårdh, A. Stary, B. Stray-Pedersen (2002)
Cost effectiveness of screening for Chlamydia trachomatis: a review of published studiesSexually Transmitted Infections, 78
I. Valkengoed, M. Postma, S. Morré, Adriaan den, Brûlé, C. Meijer, L. Bouter, Joan Boeke (2001)
Cost effectiveness analysis of a population based screening programme for asymptomatic Chlamydia trachomatis infections in women by means of home obtained urine specimensSexually Transmitted Infections, 77
Marcus Chen, N. Ryder, B. Donovan (2004)
Completeness and timeliness of treatment for chlamydia within a sexual health serviceInternational Journal of STD & AIDS, 15
M. Egger, N. Low, G. Smith, B. Lindblom, B. Herrmann (1998)
Screening for chlamydial infections and the risk of ectopic pregnancy in a county in Sweden: ecological analysisBMJ, 316
R. Welte, M. Postma, R. Leidl, M. Kretzschmar (2005)
Costs and Effects of Chlamydial Screening: Dynamic versus Static ModelingSexually Transmitted Diseases, 32
I. Simms, J. Stephenson (2000)
Pelvic inflammatory disease epidemiology: what do we know and what do we need to know?Sexually Transmitted Infections, 76
D. Lamontagne, K. Fenton, S. Randall, S. Anderson, P. Carter (2004)
Establishing the National Chlamydia Screening Programme in England: results from the first full year of screeningSexually Transmitted Infections, 80
Irene Valkengoed, S. Morré, A. Brule, C. Meijer, L. Bouter, Joan Boeke (2004)
Overestimation of complication rates in evaluations of Chlamydia trachomatis screening programmes--implications for cost-effectiveness analyses.International journal of epidemiology, 33 2
Katerina Hollblad-Fadiman, S. Goldman (2003)
American College of Preventive Medicine practice policy statement: screening for Chlamydia trachomatis.American journal of preventive medicine, 24 3
F. Bowden, S. Tabrizi, S. Garland, C. Fairley (2002)
6: Sexually transmitted infections: new diagnostic approaches and treatmentsMedical Journal of Australia, 176
Gale Burstein, K. Workowski (2003)
Sexually transmitted diseases treatment guidelinesCurrent Opinion in Pediatrics, 15
P. Wølner‐hanssen (1995)
Silent pelvic inflammatory disease: is it overstated?Obstetrics and gynecology, 86 3
K. Kohl, L. Markowitz, E. Koumans (2003)
Developments in the screening for Chlamydia trachomatis: a review.Obstetrics and gynecology clinics of North America, 30 4
C. Heal, B. Jones, C. Veitch, S. Lamb, S. Hodgens, Sheldon Browning, H. Butler, Marie Carey (2002)
Screening for chlamydia in general practice.Australian family physician, 31 8
C. Walker, J. Kahn, A. Washington, H. Peterson, R. Sweet (1993)
Pelvic inflammatory disease: metaanalysis of antimicrobial regimen efficacy.The Journal of infectious diseases, 168 4
H. Buchan, Martin Vessey, Michael Goldacre, J. Fairweather (1993)
Morbidity following pelvic inflammatory diseaseBJOG: An International Journal of Obstetrics & Gynaecology, 100
C. Lau, A. Qureshi (2002)
Azithromycin Versus Doxycycline for Genital Chlamydial Infections: A Meta-Analysis of Randomized Clinical TrialsSexually Transmitted Diseases, 29
M. Ryan (1998)
Valuing psychological factors in the provision of assisted reproductive techniques using the economic instrument of willingness to payJournal of Economic Psychology, 19
Marcus Chen, Ying Pan, H. Britt, B. Donovan (2006)
Trends in clinical encounters for pelvic inflammatory disease and epididymitis in a national sample of Australian general practicesInternational Journal of STD & AIDS, 17
Delphine Hu, E. Hook, S. Goldie (2004)
Screening for Chlamydia trachomatis in Women 15 to 29 Years of Age: A Cost-Effectiveness AnalysisAnnals of Internal Medicine, 141
H. Wiesenfeld, S. Hillier, M. Krohn, A. Amortegui, R. Heine, D. Landers, R. Sweet (2002)
Lower Genital Tract Infection and Endometritis: Insight Into Subclinical Pelvic Inflammatory DiseaseObstetrics & Gynecology, 100
Ness RB
Effectiveness of inpatiet and outpatient treatment strategies for women with pelvic inflammatory disease: results from the pelvic inflammatory disease evaluation and clinical
R. Beigi, H. Wiesenfeld (2003)
Pelvic inflammatory disease: new diagnostic criteria and treatment.Obstetrics and gynecology clinics of North America, 30 4
I. Pieris-Caldwell, C. Stevenson, Cathy Hotstone (2003)
Cervical screening in Australia 1999–2000
E. Watson, A. Templeton, I. Russell, J. Paavonen, P. Mårdh, A. Stary, B. Pederson (2002)
The accuracy and efficacy of screening tests for Chlamydia trachomatis: a systematic review.Journal of medical microbiology, 51 12
D. Scholes, A. Stergachis, F. Heidrich, H. Andrilla, K. Holmes, W. Stamm (1996)
Prevention of pelvic inflammatory disease by screening for cervical chlamydial infection.The New England journal of medicine, 334 21
Marcus Chen, B. Donovan (2005)
Changes in testing methods for genital Chlamydia trachomatis in New South Wales, Australia, 1999 to 2002.Sexual health, 2 4
M. Molano, C. Meijer, E. Weiderpass, A. Arslan, H. Posso, S. Franceschi, M. Ronderos, N. Muñoz, A. Brule (2005)
The natural course of Chlamydia trachomatis infection in asymptomatic Colombian women: a 5-year follow-up study.The Journal of infectious diseases, 191 6
E. Honey, A. Templeton (2002)
Prevention of pelvic inflammatory disease by the control of C. trachomatis infectionInternational Journal of Gynecology & Obstetrics, 78
Background: In Australia, there is no published study on the cost effectiveness of screening for chlamydia. The aim of this study was to examine the cost effectiveness of a hypothetical screening programme for chlamydia based on annual opportunistic testing of all women 25 years of age or younger consulting a general practitioner, compared with no screening. Methods: A decision–analytic modelling approach was used to determine the incremental cost effectiveness ratio (ICER) of screening compared with no screening over 25 years. The analysis measured Australian health-care costs and benefits were assessed in terms of quality-adjusted life years (QALYs). Results: The analysis resulted in a cost per QALY of $2968 for screening. One-way sensitivity analyses on all variables, and multi-way sensitivity analyses on some variables, showed a wide range for the cost effectiveness, from dominance (where screening is effective and saves money overall) to an ICER of $67 715 per QALY. Conclusions: The results indicate that annual opportunistic screening for chlamydia in women under 25 is a potentially worthwhile undertaking. However, the analysis also highlights uncertainties around the natural history of chlamydia and the effectiveness of chlamydia screening. Given these uncertainties, the need for further primary data collection in these areas becomes apparent.
Sexual Health – CSIRO Publishing
Published: Nov 17, 2006
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.