1. Hospital and community care costs for people newly diagnosed of living with HIV in London, UK.
- Author
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Beck, E. J., Loncar, D., Mandalia, S., Patel, N. H., Lwanga, J., Sharp, A., and Fox, J.
- Subjects
DIAGNOSIS of HIV infections ,HOSPITALS ,EVALUATION of medical care ,HIV infections ,CONFIDENCE intervals ,MEDICAL care costs ,COMMUNITY health services ,ANTIRETROVIRAL agents ,COST benefit analysis ,DESCRIPTIVE statistics ,RESEARCH funding ,T cells ,PSYCHOLOGY of HIV-positive persons ,LONGITUDINAL method - Abstract
This study of people newly diagnosed of living with HIV (ND-PLHIV) calculated the use, cost and outcome of HIV services at a London HIV centre. ND-PLHIV were followed July 2017-October 2018. Hospital data included inpatient days (IP), outpatient (OP), dayward (DW) visits, tests and procedures, and anti-retroviral drugs (ARVs). Community services were recorded in daily diaries. Mean per patient-year (MPPY) use was multiplied by unit costs. 13.6 MPPY (95%CI 12.4–14.9) OP visits, 0.4 MPPY (95%CI 0.1–0.7) IP days, 0.09 MPPY (95%CI 0.01–0.2) DW visits and 4.6 MPPY community services (95%CI 3.4–5.8). Total annual costs per patient-year (CPPY) was £11,483 (95%CI £10,369–12,597): ARVs comprised 63% and community services 2%. White participants used fewer hospital and more community services compared with minority ethnic community (MEC) participants. Costs for White ND-PLHIV was £10,778 CPPY (95%CI £9629–11,928); £13,214 (95%CI £10,656–15,772) for MEC ND-PLHIV (p < 0.06). Annual costs were inversely related to CD4 count at entry (r = −5.58, p = 0.02); mean CD4 count was 476 cells/mm
3 (95%CI 422–531) versus 373 cells/mm3 (95%CI 320–425) for White and MEC participants respectively (p = 0.03). Annual costs for ND-PLHIV with CD4 ≤ 350 cells/mm3 was £2478 PPY higher compared with CD4 count >350 cells/mm3 (p = 0.04). [ABSTRACT FROM AUTHOR]- Published
- 2023
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