Cost-effectiveness of HIV testing and treatment in the United States

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Rochelle WalenskyA David Paltiel

Abstract

In September 2006, the US Centers for Disease Control and Prevention (CDC) released new guidelines calling for routine, voluntary human immunodeficiency virus (HIV) testing for all persons aged 13-64 years in health care settings. These guidelines were motivated, in part, by mounting evidence that the traditional approach of using risk factors to identify candidates for HIV testing is inadequate. Of the 1.0-1.2 million people in the United States thought to be infected with HIV, approximately 25% remain unaware of their infection, and nearly half of all infected patients develop acquired immunodeficiency syndrome < or = 1 year after testing positive for HIV. Also contributing to the change in testing guidelines was recent evidence that routine HIV testing is cost-effective. Cost-effectiveness analysis, a method of assessing health care interventions in terms of the value they confer, reports results in terms of the resources that are required for the intervention to produce an additional unit of change in health effectiveness; more economically efficient programs are those with lower cost-effectiveness ratios. This article reviews the methods and results of cost-effectiveness studies in the United States and articulates why rou...Continue Reading

Associated Clinical Trials

Jul 18, 2007·Rochelle Walensky, Rochelle Walensky

References

Dec 21, 1994·JAMA : the Journal of the American Medical Association·P LurieD Ciccarone
Mar 5, 1993·MMWR. Morbidity and Mortality Weekly Report·UNKNOWN Centers for Disease Control and Prevention (CDC)
Feb 26, 1996·Archives of Internal Medicine·D K OwensR A Harris
Oct 31, 1997·Medical Decision Making : an International Journal of the Society for Medical Decision Making·J A ScharfsteinK A Freedberg
Jan 24, 1998·JAMA : the Journal of the American Medical Association·K A FreedbergA D Paltiel
Oct 18, 2000·JAMA : the Journal of the American Medical Association·A L FrazierK M Kuntz
Mar 7, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A D PaltielK A Freedberg
Mar 15, 2001·The New England Journal of Medicine·K A FreedbergS J Goldie
Mar 20, 2001·Annals of Internal Medicine·M C WeinsteinK A Freedberg
Nov 23, 2001·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·UNKNOWN Centers for Disease Control and Prevention
Dec 4, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Scott D HolmbergDiane V Havlir
Feb 11, 2005·The New England Journal of Medicine·Gillian D SandersDouglas K Owens
Feb 11, 2005·The New England Journal of Medicine·A David PaltielRochelle P Walensky
Mar 5, 2005·The American Journal of Medicine·Rochelle P WalenskyA David Paltiel
Apr 27, 2005·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Paul E SaxRochelle P Walensky
Jun 14, 2005·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Rochelle P WalenskyA David Paltiel
Aug 24, 2005·Medical Care·Marian E BetzUNKNOWN HIV Research Network
Aug 24, 2005·Medical Care·John A FleishmanUNKNOWN HIV Research Network
Jun 3, 2006·The Journal of Infectious Diseases·Rochelle P WalenskyKenneth A Freedberg
Sep 19, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Angela B HutchinsonScott E Kellerman
Oct 26, 2006·Medical Care·Bruce R SchackmanKenneth A Freedberg
Dec 6, 2006·Annals of Internal Medicine·A David PaltielKenneth A Freedberg

❮ Previous
Next ❯

Citations

Aug 20, 2009·Journal of General Internal Medicine·Barbara G BokhourAllen L Gifford
Jun 30, 2010·International Journal of Technology Assessment in Health Care·Onome Dibosa-Osadolor, Tracy Roberts
Nov 26, 2010·AIDS Patient Care and STDs·Oni J BlackstockSharon B Mannheimer
Apr 5, 2011·The Journal of Infectious Diseases·Timothy P Flanigan, Curt G Beckwith
Oct 2, 2008·HIV Medicine·B G GazzardUNKNOWN BHIVA Treatment Guidelines Writing Group
Dec 14, 2011·AIDS Research and Treatment·Laura SaganicAnn Duerr
Feb 22, 2012·PLoS Medicine·Bohdan Nosyk, Julio S G Montaner
Sep 17, 2010·PloS One·Chara E RydzakUNKNOWN CEPAC Investigators
Jan 24, 2013·PloS One·A D McNaghtenPatrick S Sullivan
Oct 15, 2009·Future Microbiology·Roderick J ChappelElizabeth M Dax
Aug 2, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lynn E TaylorGail V Matthews
Jul 30, 2014·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Caitlin MilliganCharles Hicks
Sep 17, 2014·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Cherrie B BoyerJonathan M Ellen
Apr 12, 2012·AIDS and Behavior·David R HoltgraveH Irene Hall
Feb 13, 2016·Oral Diseases·D A ReznikR Lavanya
Oct 29, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Martin HoeniglSusan J Little
Sep 29, 2012·Dental Clinics of North America·David A Reznik
Jun 28, 2011·Annals of Emergency Medicine·Ronald J LubelchekRebeca R Roberts
Jan 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kerry B BroderickJason S Haukoos
Dec 15, 2010·Journal of Viral Hepatitis·C CohenT M Block
Jun 21, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Jagpreet ChhatwalFasiha Kanwal
Sep 14, 2012·Drug and Alcohol Dependence·Bruce R SchackmanRochelle P Walensky
Sep 11, 2012·Mayo Clinic Proceedings·Stacey A RizzaZelalem Temesgen
Sep 15, 2016·AIDS and Behavior·Rose ZulligerDavid Holtgrave
Dec 20, 2013·International Journal of STD & AIDS·Gabriele PratiLuca Pietrantoni
Dec 17, 2011·International Journal of STD & AIDS·S MadgeA M Geretti

❮ Previous
Next ❯

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