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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Economic evaluation of HIV treatments: The I.CO.N.A. cohort study
Health Policy, Volume 74, No. 3, Year 2005
Notification
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Description
Objective: To describe the changes in costs of care for HIV-positive patients in Italy after the spread of antiretroviral combination therapies (HAART). Methods: Five thousand four hundred and twenty-two patients from the I.CO.N.A. (Italian Cohort Naive Antiretrovirals) study were followed between 1997 and 2002. Costs included antiretroviral therapies (ART), hospital admissions, prophylaxis, and main laboratory examinations. The perspective was that of the National Health Service. Results: Admission costs per person-year decreased from 2148 euro in 1997 to 256 in 2002, while the average annual costs of ART increased from 2145 to 3149 euro (1997 prices). From 1997 to1999, ART costs increased from 42.3 to 85.9% of the total, while admission costs decreased from 42.3 to 7.0% and prophylaxis from 7.3 to 1.7%. The breakdown of ART costs shows how dual therapies decreased over time in favor of HAART, falling from 26.8% in 1997 to 5.9% in 2002. Patients with fewer than five treatment switches had the lowest costs distributions over the entire observation period. Conclusions: From 1997 to 2002 inpatient costs progressively decreased in favor of antiretroviral therapy. Annual average costs per patient decreased, while total direct costs increased over time: health resources, initially concentrated on hospitalized patients were then distributed over a growing number of subjects. © 2005 Elsevier Ireland Ltd. All rights reserved.
Authors & Co-Authors
Baio, Gianluca
Italy, Florence
Università Degli Studi Di Firenze
D'Arminio Monforte, Antonella D.
Italy, Milan
Università Degli Studi Di Milano
Pezzotti, P.
Italy, Rome
Istituto Superiore Di Sanita
Cauda, Roberto
Italy, Rome
Istituto Superiore Di Sanita
Italy, Rome
Università Cattolica Del Sacro Cuore, Campus Di Roma
Scalise, Giorgio
Unknown Affiliation
Suter, Fredy
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Carosi, Giaampiero
Unknown Affiliation
Torti, Carlo
Unknown Affiliation
Rizzardini, Giuliano
Unknown Affiliation
Santoro, Domenico
Unknown Affiliation
Pusterla, Luigi
Unknown Affiliation
Galloni, Donata
Unknown Affiliation
Mazzotta, Francesco
Unknown Affiliation
Lo Caputo, Sergio
Unknown Affiliation
Angarano, Gioacchino
Unknown Affiliation
Saracino, Annalisa L.
Unknown Affiliation
Tundo, Paolo
Unknown Affiliation
Lazzarin, Adriano
Italy, Milan
Università Degli Studi Di Milano
Mussini, Cristina
Unknown Affiliation
Chirianni, Antonio
Unknown Affiliation
Ferrari, Carlo C.
Unknown Affiliation
Bruno, R.
Unknown Affiliation
Ruggieri, Anna
Unknown Affiliation
Menichetti, Francesco
Italy, Pisa
Sant'anna Scuola Universitaria Superiore Pisa
Ippolito, Giuseppe
Italy, Rome
Istituto Superiore Di Sanita
Antinori, Andrea
Italy, Rome
Istituto Superiore Di Sanita
Narciso, Pasquale
Italy, Rome
Istituto Superiore Di Sanita
Petrosillo, Nicola
Italy, Rome
Istituto Superiore Di Sanita
Vullo, Vincenzo
Italy, Rome
Istituto Superiore Di Sanita
De Luca, Andrea
Italy, Rome
Istituto Superiore Di Sanita
Zaccarelli, Mauro
Italy, Rome
Istituto Superiore Di Sanita
Acinapura, Rosa
Italy, Rome
Istituto Superiore Di Sanita
D'Offizi, Gianpiero
Italy, Rome
Istituto Superiore Di Sanita
Lichtner, Miriam
Italy, Rome
Istituto Superiore Di Sanita
Capobianchi, Maria Rosaria
Italy, Rome
Istituto Superiore Di Sanita
Girardi, Enrico
Italy, Rome
Istituto Superiore Di Sanita
Rezza, Giovanni
Italy, Rome
Istituto Superiore Di Sanita
Caramello, Pietro
Unknown Affiliation
Sinicco, Alessandro
Unknown Affiliation
Orofino, Giancarlo
Unknown Affiliation
Grossi, Paolo Antonio
Unknown Affiliation
de Lalla, Fausto
Italy, Vicenza
Ospedale San Bortolo
Statistics
Citations: 13
Authors: 42
Affiliations: 10
Identifiers
Doi:
10.1016/j.healthpol.2005.01.016
ISSN:
01688510
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Study Approach
Quantitative