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