masterThesis
Proporción de pacientes y hogares que experimentan costos catastróficos derivados de la tuberculosis mundialmente: Revisión sistemática
Autor
Vera Nieto, Nestor Rodrigo Alejandro
Institución
Resumen
Objective: Determine the proportion of patients and households that experience catastrophic costs due to tuberculosis. Methods: Systematic review in three databases and additional sources between January 2009 and October 2020. Catastrophic costs were analyzed under the threshold of ≥20% of the annual household income of a person affected by tuberculosis. Results: 7487 articles and 19 additional publications were identified. After screening and eligibility review, 40 articles were included in the qualitative synthesis and none in the quantitative synthesis. The articles included came from 25 countries, most of Asia and Africa. High heterogeneity was found in the results. The percentage of catastrophic costs ranged between 4% and 83%. However, this percentage was up to 100% when the analysis was specific for resistant tuberculosis. Conclusions: Regardless of the heterogeneity of the included studies, a significant percentage of patients with tuberculosis face catastrophic costs. A higher percentage of patients and households face catastrophic costs when there is co-infection with HIV or resistant tuberculosis. Active detection can have a favorable effect on the costs faced by patients.