Cost-effectiveness implications of the timing of antiretroviral therapy in HIV-infected adults.

Author: FreedbergKenneth A, GoldieSue J, LosinaElena, SaxPaul E, SchackmanBruce R, WeinsteinMilton C, ZhangHong

Paper Details 
Original Abstract of the Article :
BACKGROUND: The appropriate time to initiate antiretroviral therapy is controversial for human immunodeficiency virus (HIV)-infected patients with CD4 cell counts between 200/microL and 350/microL and low levels of HIV RNA, potentially leading to barriers to treatment access. OBJECTIVE: To examine ...See full text at original site
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引用元:
https://doi.org/10.1001/archinte.162.21.2478

データ提供:米国国立医学図書館(NLM)

Timing of Antiretroviral Therapy in HIV-Infected Adults: A Cost-Effectiveness Analysis

My fellow researchers, we're embarking on a journey through the complex world of [HIV treatment] and exploring the cost-effectiveness of initiating antiretroviral therapy at different stages of the disease. This study, like a camel caravan navigating a treacherous desert, meticulously evaluated the clinical benefits and costs associated with early versus deferred therapy in HIV-infected patients with specific CD4 cell counts and HIV RNA levels. The researchers employed a [state-transition model] to compare the two treatment strategies and utilized data from various sources, including randomized clinical trials and cohort studies. This comprehensive approach is akin to a desert explorer utilizing multiple tools and resources to ensure a successful expedition.

The Cost-Effectiveness of Early Antiretroviral Therapy

The findings suggest that early therapy, initiated at a CD4 cell count of 350/microL, is a more efficient use of resources compared to deferred therapy, initiated at a CD4 cell count of 200/microL. The study also found that early therapy resulted in a higher quality-adjusted life expectancy, even when considering potential quality-of-life reductions associated with fat distribution symptoms. This is similar to a desert traveler who chooses a well-maintained path, despite potential challenges, to ensure a smoother and safer journey.

Navigating the Complexities of HIV Treatment

The findings emphasize the importance of early access to antiretroviral therapy for HIV-infected individuals. The study highlights the need for a nuanced approach to treatment decisions, considering individual patient factors and the potential long-term implications of therapy. This is akin to a desert caravan, where the wise leader considers the needs of each member and adjusts the route accordingly to ensure a successful and fulfilling journey.

Dr.Camel's Conclusion

This study provides valuable insights into the cost-effectiveness of early antiretroviral therapy for HIV-infected individuals. It underscores the importance of early intervention and highlights the need for a comprehensive approach to treatment decisions, balancing clinical benefits with cost considerations. This research is like a guiding star, illuminating the path towards improved treatment strategies and a better quality of life for those living with HIV.

Date :
  1. Date Completed 2002-12-04
  2. Date Revised 2019-08-13
Further Info :

Pubmed ID

12437408

DOI: Digital Object Identifier

10.1001/archinte.162.21.2478

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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