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Table 3 Syphilis-related health states and utility weights used in cost-effectiveness studies where the primary outcome was QALYs

From: Ignored and undervalued in public health: a systematic review of health state utility values associated with syphilis infection

Study

Neonatal

Adult

Health state

Utility weight

Duration

Health state

Utility weight

Duration

Castillo (2021) [40]

··

··

··

Susceptible

1

-

··

··

··

Stage 1 (primary)

0·737

4·93 years

··

··

··

Stage 2 (secondary)

0·737

3·38 years

··

··

··

Latent

0·737

0·33 years

··

··

··

Tertiary

0·737

-

··

··

··

Immune

1

0·2 years

Custer (2010) [42]

··

··

··

Primary syphilis

0·88 (0·85-0·91)

1 year

   

Tertiary syphilis

0·65 (0·6-0·70)

Not stated

Eaton (2018) [35]

··

··

··

Syphilis and HIV infection

0·82 (0·69-0·93)

1 year if positive screening test, 2 years if false negative screening test

Hersh (2018) [36]

Congenital syphilis

0·74 (0·6-0·8)

Lifetime

··

··

··

Intrauterine fetal demise

0

··

··

··

··

Neonatal death

0

··

··

··

··

··

··

··

Congenital syphilis (maternal perspective)

0·88 (0·7-0·9)

Lifetime

··

··

··

Stillbirth (maternal perspective)

0·92 (0·8-0·95)

Lifetime

··

··

··

Neonatal death (maternal perspective)

0·76 (0·7-0·8)

Lifetime

Huntington (2020) [37]

Congenital syphilis

0.74

Lifetime

··

··

··

Intrauterine fetal demise

0

··

··

··

··

Neonatal death

0

··

··

··

··

Suijkerbuijk (2018)a [38]

··

··

··

Primary syphilis

1-0·015 = 0·985b (age 1-44 years)

1-0·014 = 0·986b (age 45+ years)

0·04 years

··

··

··

Secondary syphilis

1-0·048 = 0·952b

1-0·044 = 0·956b

0·07 years

··

··

··

Neurosyphilis

1-0·281 = 0·719b

10 years

Tuite (2014) [39]

··

··

··

Primary syphilis

1-0·0072 = 0·9928b

(0·0065-0·0079)

0·7 years

··

··

··

Secondary syphilis

1-0·041 = 0·959b

(0·036-0·045)

3·6 years

··

··

··

Neurosyphilis and tertiary syphilis

1-0·094 = 0·906b

(0·074-0·283)

7·7 years

  1. aResults are taken from the study referenced in the bibliography (State of Infectious Diseases in the Netherlands 2013)
  2. bDisability weights were converted into utility weights by using the formula: 1 minus disability weight = utility weight
  3. Ranges or confidence intervals used for sensitivity analyses are placed in brackets