Increased costs of HIV care associated with aging in an HIV-infected population
Increased costs of HIV care associated with aging in an HIV-infected population
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DOI：
10.1111/hiv.12176
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发表时间：
2015-01-01
期刊：
影响因子：
3
通讯作者：
Gill, M. J.
中科院分区：
文献类型：
--
作者：
Krentz, H. B.;Gill, M. J.
目标生存的改善使发达国家的艾滋病毒流行病向50岁以下的更多个体转移。新感染或长期感染艾滋病毒的老年人患艾滋病毒相关和非艾滋病毒相关疾病的风险更大，从而增加了艾滋病毒管理的负担和复杂性。该研究的目的是研究年龄对明确定义的艾滋病毒感染人群中艾滋病毒护理费用的影响。方法选取2000年1月1日至2011年1月1日期间接受艾滋病毒治疗的所有16岁以下艾滋病毒感染者。采用每人每月平均费用（PPPM）作为比较变量，收集抗逆转录病毒治疗（ART）、艾滋病毒相关门诊护理和艾滋病毒相关住院护理的费用，用于比较老年（50岁）和年轻（50岁）患者。结果老年患者比例从1999年的9.6%上升到2010年的25.4%，比例费用从25%上升到31%。老年患者比年轻患者更有可能接受ART治疗(分别为89%对69%
ObjectivesImproved survival has shifted the HIV epidemic in the developed world towards more individuals >50 years of age. Older individuals, with new or longstanding HIV infection, are at greater risk for HIV-related and non-HIV-related conditions, compounding the burden and complexity of HIV management. The aim of the study was to examine the impact of age on the cost of HIV care in a well-defined HIV-infected population.MethodsAll HIV-infected individuals >16 years old receiving HIV care between 1 January 2000 and 1 January 2011 were included in the study. The costs of antiretroviral therapy (ART), HIV-related out-patient care and HIV-related in-patient care were collected using mean cost per person, per month (PPPM) as the comparator variable for the comparison between older (>50 years old) and younger (50 years old) patients.ResultsThe proportion of older patients increased from 9.6% to 25.4% and proportional costs increased from 25% to 31% from 1999 to 2010. Older patients were more likely than younger patients to be on ART (89% vs. 69%, respectively; P