The Direct Medical Costs of Late Presentation (<350mm3) of HIV Infection over a 15-Year Period
Joint Authors
Gill, M. John
Krentz, Hartmut B.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-08-29
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
We describe the immediate- and longer-term direct medical costs of care for individuals diagnosed with HIV at CD4 counts <350/mm3 (“late presenters”).
We collected and stratified by initial CD4 count all inpatient, outpatient, and drug costs for all newly diagnosed patients accessing HIV care within Southern Alberta from 1/1/1995 to 1/1/2010.
59% of new patients were late presenters.
We found significantly higher costs for late presenters, especially inpatient costs, during the first year after accessing care.
Direct medical costs remained almost twice as high for late presenters in subsequent years compared to patients presenting with CD4 counts >350/mm3 despite significantly their improved CD4 counts.
The sustained high cost for late presenters has implications for recent recommendations for wider routine HIV testing and the earlier initiation of cART.
Earlier diagnosis and treatment, while increasing the immediate expenditures within a population, may produce both direct and indirect cost savings in the longer term.
American Psychological Association (APA)
Krentz, Hartmut B.& Gill, M. John. 2011. The Direct Medical Costs of Late Presentation (<350mm3) of HIV Infection over a 15-Year Period. AIDS Research and Treatment،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-496314
Modern Language Association (MLA)
Krentz, Hartmut B.& Gill, M. John. The Direct Medical Costs of Late Presentation (<350mm3) of HIV Infection over a 15-Year Period. AIDS Research and Treatment No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-496314
American Medical Association (AMA)
Krentz, Hartmut B.& Gill, M. John. The Direct Medical Costs of Late Presentation (<350mm3) of HIV Infection over a 15-Year Period. AIDS Research and Treatment. 2011. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-496314
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496314